MD TRUCARE PA NPI 1043754526

NPI Information

  • NPI: 1043754526
  • Provider Name: MD TRUCARE PA
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • Address: 823 IRA E WOODS AVE STE 200
    GRAPEVINE, TX
    ZIP 76051
  • Phone: (817) 722-6078

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NPI Details

MD TRUCARE PA is an endocrinology and diabetes and metabolism internal medicine in Grapevine, 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. MD TRUCARE PA NPI is 1043754526. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

823 IRA E WOODS AVE STE 200
GRAPEVINE, TX
ZIP 76051-096
Phone: (817) 722-6078
Fax: (817) 722-6077

The provider's authorized official is Ayesha Ebrahim .
The authorized official title is Ceo and has the following contact phone number (218) 205-0198.

The enumeration date for this NPI number is 12/19/2016 and was last updated on 3/4/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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: 11/21/2025

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