Organization · Type 2 NPI

Endocrinology and Diabetes Specialist PA

Medical Specialty Clinic/Center · Dallas, TX

NPI number 1639574403 Active

Practice location

11970 N Central Expy, Suite 630
Dallas, TX 75243-3768

Call (972) 998-6711 Map

Fax (972) 421-1677

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XM0612 (TX)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

25 other providers at this address

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About NPI 1639574403

Endocrinology and Diabetes Specialist PA's National Provider Identifier is 1639574403, issued on Oct 23, 2014. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Dallas, TX. The record was last updated on Oct 23, 2014.