Noushin Izadifar Hart, M.D. P.a.

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

License

L5385 Issued in TX

Legal business name

NOUSHIN IZADIFAR HART, M.D. P.A.

Practice address

10 W Whistlers Bend Cir
Conroe, TX 77384-5061

Phone

(936) 525-3900

NPI assigned

May 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Noushin Izadifar Hart

Title

President

Phone

(832) 858-5571

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1861711392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W WHISTLERS BEND CIR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773845061",
            "telephone_number": "936-525-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W WHISTLERS BEND CIR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773845061",
            "telephone_number": "936-525-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOUSHIN IZADIFAR HART, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "NOUSHIN",
        "authorized_official_middle_name": "IZADIFAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-858-5571",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "TX",
            "license": "L5385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiation Oncology Clinic/Center in Conroe, TX
• Providers in Conroe, TX by specialty
• Radiation Oncology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.