Provider Demographics
NPI:1518928472
Name:NOON, GEORGE P (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:P
Last Name:NOON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4758
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4758
Mailing Address - Country:US
Mailing Address - Phone:713-798-8651
Mailing Address - Fax:713-798-8252
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:SUITE 800
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-790-3311
Practice Address - Fax:713-790-4699
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC8393208600000X, 2086S0129X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136203006Medicaid
TX136203007Medicaid
TX136203006Medicaid
81Z738Medicare PIN
TX136203007Medicaid
TXTXB124347Medicare PIN