Provider Demographics
NPI:1295154490
Name:NOBLE MED-SURGICAL CONSULTANTS LLC
Entity type:Organization
Organization Name:NOBLE MED-SURGICAL CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:CHIDI
Authorized Official - Last Name:OBASI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-331-0506
Mailing Address - Street 1:510 COX RD
Mailing Address - Street 2:UNIT #9
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75672-8386
Mailing Address - Country:US
Mailing Address - Phone:903-331-0506
Mailing Address - Fax:903-331-0462
Practice Address - Street 1:5915 ELYSIAN FIELDS RD
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75672-2083
Practice Address - Country:US
Practice Address - Phone:903-331-0506
Practice Address - Fax:903-331-0462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6542208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty