Provider Demographics
NPI:1255918983
Name:NOGGLE MARTIN, EMILY VICTORIA (MD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:VICTORIA
Last Name:NOGGLE MARTIN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:VICTORIA
Other - Last Name:NOGGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1500 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-4941
Mailing Address - Country:US
Mailing Address - Phone:817-702-1244
Mailing Address - Fax:
Practice Address - Street 1:1500 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4941
Practice Address - Country:US
Practice Address - Phone:817-702-1244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-27
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program