Provider Demographics
NPI:1750942991
Name:VAN NOY, AUBRY ELYSE (MPAS, PA-C)
Entity type:Individual
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First Name:AUBRY
Middle Name:ELYSE
Last Name:VAN NOY
Suffix:
Gender:F
Credentials:MPAS, PA-C
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Mailing Address - Street 1:PO BOX 679191
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-9191
Mailing Address - Country:US
Mailing Address - Phone:972-316-4555
Mailing Address - Fax:469-802-1548
Practice Address - Street 1:1450 N PRESTON RD STE 60
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-9890
Practice Address - Country:US
Practice Address - Phone:972-316-4555
Practice Address - Fax:469-481-2373
Is Sole Proprietor?:No
Enumeration Date:2019-06-27
Last Update Date:2025-01-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA12870363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant