Provider Demographics
NPI:1952570418
Name:NOEL, CORY VINCENT (MD)
Entity Type:Individual
Prefix:DR
First Name:CORY
Middle Name:VINCENT
Last Name:NOEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:6621 FANNIN STREET
Mailing Address - Street 2:MC 19345-C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:832-826-5635
Mailing Address - Fax:832-825-0237
Practice Address - Street 1:3841 PIPER ST STE T345
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4694
Practice Address - Country:US
Practice Address - Phone:907-339-1945
Practice Address - Fax:907-339-1994
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-28
Last Update Date:2024-01-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AK1472972080P0202X
MO208000000X208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics