Organization · Type 2 NPI

Pre Diabetes Physician Services Inc

Specialist · Fort Worth, TX

NPI number 1639581077 Active

Practice location

1307 8th Ave Ste 502
Fort Worth, TX 76104-4137

Mailing address

3721 Executive Center Dr
Austin, TX 78731-1645

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XL4258 (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.

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About NPI 1639581077

Pre Diabetes Physician Services Inc's National Provider Identifier is 1639581077, issued on May 20, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Worth, TX. The record was last updated on May 20, 2014.