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TEXAS DIABETES AND ENDOCRINOLOGY PA NPI 1083888523


NPI Information

NPI: 1083888523
Provider Name: TEXAS DIABETES AND ENDOCRINOLOGY PA
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 45D1093239

Address:
170 DEEPWOOD DR
SUITE 104
ROUND ROCK, TX
ZIP 78681
Phone: (512) 458-8400
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TEXAS DIABETES AND ENDOCRINOLOGY PA is an endocrinology and diabetes and metabolism internal medicine in Round Rock, 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. TEXAS DIABETES AND ENDOCRINOLOGY PA NPI is 1083888523. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

170 DEEPWOOD DR
SUITE 104
ROUND ROCK, TX
ZIP 78681-944
Phone: (512) 458-8400
Fax: (512) 458-8593

The provider's authorized official is Thomas C Blevins .
The authorized official title is President and has the following contact phone number (512) 458-8400.

The CLIA number assigned to this NPI record is 45D1093239 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2008 and was last updated on 7/18/2008.


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
1364S00000XClinical Nurse SpecialistTEXASNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismTEXASYes

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
100Z148MEDICARE PINTEXAS

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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