DIABETES AND GLANDULAR DISEASE CLINIC CERTIFIED DIABETES EDUCATION CEN NPI 1629391842

NPI Information

DIABETES AND GLANDULAR DISEASE CLINIC CERTIFIED DIABETES EDUCATION CEN is a medical specialty clinic center in San Antonio, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). DIABETES AND GLANDULAR DISEASE CLINIC CERTIFIED DIABETES EDUCATION CEN NPI is 1629391842. The provider is registered as an organization entity type.

The provider's business location address is:

5107 MEDICAL DR
SAN ANTONIO, TX
ZIP 78229-801
Phone: (210) 614-8612
Fax: (210) 615-1666

The provider's authorized official is Joseph Bagwell .
The authorized official title is Director Of Clinic Operations and has the following contact phone number (210) 615-5541.

The enumeration date for this NPI number is 3/2/2010 and was last updated on 8/24/2023.

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:

Other Identifiers

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

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