Individual provider Active NPI

Noor Radwan

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1497463194
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1111870 Issued in TX
Practice address
11803 Westheimer Rd Ste 720
Houston, TX 77077-6796
Phone
(832) 810-9025
NPI assigned
Nov 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1111870 TX
Family Nurse Practitioner 363LF0000X 1111870 TX Primary

Addresses

Primary practice location

11803 Westheimer Rd Ste 720
Houston, TX 77077-6796

Mailing address

11803 Westheimer Rd Ste 720
Houston, TX 77077-6796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1111870TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatricz Now Primary Care PLLC CurrentSince Apr 9, 2023 Accepting new patients

Locations

17817 FM 529 Rd
Ste 109
Houston, TX 77095
Phone (832) 810-9021

8880 Bellaire Blvd
Ste H1
Houston, TX 77036

11803 Westheimer Rd
Ste 720
Houston, TX 77077
Phone (832) 810-9012

23441 Kingsland Blvd
Ste 100
Katy, TX 77494
Phone (832) 810-9014

10321 W Grand Pkwy S
Ste 130
Richmond, TX 77407
Phone (832) 810-9025

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1497463194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11803 WESTHEIMER RD STE 720",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 WESTHEIMER RD STE 720",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776796",
            "telephone_number": "832-810-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADWAN",
        "first_name": "NOOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1111870",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1111870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.