Organization · Type 2 NPI
Pre Diabetes Physician Services Inc
Specialist · Stafford, TX
NPI number
1154732535
Active
Practice location
12603 Southwest Fwy Ste 600
Stafford, TX 77477-3838
Mailing address
3721 Executive Center Dr Ste 160
Austin, TX 78731-1607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | J4115 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
Other specialist providers in Stafford
About NPI 1154732535
Pre Diabetes Physician Services Inc's National Provider Identifier is 1154732535, issued on May 19, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Stafford, TX. The record was last updated on May 19, 2014.