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DIABETES AND THYROID CENTER OF FORT WORTH PLLC NPI 1326373143


NPI Information

NPI: 1326373143
Provider Name: DIABETES AND THYROID CENTER OF FORT WORTH, PLLC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 45D1107820

Address:
7801 OAKMONT BLVD
SUITE 101
FORT WORTH, TX
ZIP 76132
Phone: (817) 263-0007
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DIABETES AND THYROID CENTER OF FORT WORTH, PLLC is an endocrinology and diabetes and metabolism internal medicine in Fort Worth, 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. DIABETES AND THYROID CENTER OF FORT WORTH, PLLC NPI is 1326373143. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7801 OAKMONT BLVD
SUITE 101
FORT WORTH, TX
ZIP 76132-204
Phone: (817) 263-0007
Fax: (817) 263-1118

The provider's authorized official is Darren Lackan .
The authorized official title is President and has the following contact phone number (817) 263-0007.

The CLIA number assigned to this NPI record is 45D1107820 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2009 and was last updated on 11/10/2022.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1209175301MEDICAIDTEXAS

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: 5/5/2024

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