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THYROIDENDOCRINOLOGY AND DIABETES PA NPI 1750521639


NPI Information

NPI: 1750521639
Provider Name: THYROID,ENDOCRINOLOGY AND DIABETES, PA
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 45D2090555

Address:
1018 N ZANG BLVD STE 110
DALLAS, TX
ZIP 75208
Phone: (214) 412-2160
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THYROID,ENDOCRINOLOGY AND DIABETES, PA is an endocrinology and diabetes and metabolism internal medicine in Dallas, TX. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. THYROID,ENDOCRINOLOGY AND DIABETES, PA NPI is 1750521639. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1018 N ZANG BLVD STE 110
DALLAS, TX
ZIP 75208-123
Phone: (214) 412-2160
Fax: (972) 427-5151

The provider's authorized official is Steve Vincent Estoy Fordan .
The authorized official title is Director and has the following contact phone number (972) 693-3871.

The CLIA number assigned to this NPI record is 45D2090555 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/4/2009 and was last updated on 6/23/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismM3223TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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