Provider Demographics
NPI:1982386389
Name:OHYE, NOREEN LIANNA
Entity Type:Individual
Prefix:
First Name:NOREEN
Middle Name:LIANNA
Last Name:OHYE
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 1:3525 SYCAMORE SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-7805
Mailing Address - Country:US
Mailing Address - Phone:817-346-4457
Mailing Address - Fax:
Practice Address - Street 1:1708 WILD WILLOW TRL
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76134-4958
Practice Address - Country:US
Practice Address - Phone:817-917-9556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72765183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist