DALLAS DIABETES AND ENDO. RESEARCH CENTER P.A. NPI 1154690709

NPI Information

DALLAS DIABETES AND ENDO. RESEARCH CENTER, P.A. is a research clinic center in Dallas, TX. DALLAS DIABETES AND ENDO. RESEARCH CENTER, P.A. NPI is 1154690709. The provider is registered as an organization entity type.

The provider's business location address is:

7777 FOREST LN STE C685
DALLAS, TX
ZIP 75230-885
Phone: (972) 566-7799
Fax: (972) 566-4016

The provider's authorized official is Julio Rosenstock .
The authorized official title is Medical Director and has the following contact phone number (972) 566-7799.

The CLIA number assigned to this NPI record is 45D0667041 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2011 and was last updated on 1/10/2012.

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:

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