Provider Demographics
NPI:1740884980
Name:HAMID, NOON
Entity type:Individual
Prefix:
First Name:NOON
Middle Name:
Last Name:HAMID
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3412 FAULKNER DR
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-2973
Mailing Address - Country:US
Mailing Address - Phone:469-230-9713
Mailing Address - Fax:
Practice Address - Street 1:2800 FLOWER MOUND RD
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-4819
Practice Address - Country:US
Practice Address - Phone:972-538-0444
Practice Address - Fax:972-538-0410
Is Sole Proprietor?:No
Enumeration Date:2020-11-29
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51054183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist