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Elena Noonan is one of 1,330 physician assistants practicing in Dallas, Texas .
Elena Noonan practices with Form Health Associates Ma, P.C.
Registry record (NPPES)
NPI
1174041396
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
4324 Golden Triangle Blvd # 110 Fort Worth, TX 76244-6314 (972) 525-9900
Enumerated
Sep 7, 2017
Record last updated
Jan 27, 2023
License states listed
OR, TX
Medicare (CMS)
Enrollment
Medicare-enrolled in MN, TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
325 N Saint Paul St Suite 3100
Dallas , TX 75201
(617) 505-1520
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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