Provider Demographics
NPI:1447068564
Name:NAOUN, ADRIAN A (MD STUDENT)
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:A
Last Name:NAOUN
Suffix:
Gender:M
Credentials:MD STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11130 VANCE JACKSON RD APT 801
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-2794
Mailing Address - Country:US
Mailing Address - Phone:210-996-0957
Mailing Address - Fax:
Practice Address - Street 1:6W9X PPR, PR-52
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727
Practice Address - Country:US
Practice Address - Phone:787-743-3038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker