Premier Diabetes Endocrinology, Pa in Coppell - Medical Specialty
Premier Diabetes Endocrinology, Pa - NPI 1275698532
Premier Diabetes Endocrinology, Pa is a Medical Specialty in Coppell, Texas. Premier Diabetes Endocrinology, Pa practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Premier Diabetes Endocrinology, Pa is 1275698532. The last update date is 2011-04-08.
Premier Diabetes Endocrinology, Pa's current location address is Po Box 378, Coppell, Texas. You can contact this provider via phone number 9724929901 and fax number 9724929902. The mailing address for Premier Diabetes Endocrinology, Pa is Po Box 378, Coppell, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Premier Diabetes Endocrinology, Pa |
|---|---|
| Address | Po Box 378, Coppell, Texas |
| Phone Number | 9724929901 |
| Fax Number | 9724929902 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Obialo Ted |
| Telephone Number | 9724929901 |
NPI Number Detail
| NPI Number | 1275698532 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2011-04-08 |
Provider Mailing Address Detail
| Address | Po Box 378 |
|---|---|
| City | Coppell |
| State | Texas (TX) |
| Post Code | 750190378 |
| Phone Number | 9724929901 |
| Fax Number | 9724929902 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
|
Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0011LM | TX | BCBS | |
| 167630601 | TX | -- |
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What is the Premier Diabetes Endocrinology, Pa's 1275698532?
The Premier Diabetes Endocrinology, Pa's NPI (National Provider Identifier) Number is 1275698532. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Premier Diabetes Endocrinology, Pa's physical address?
The Premier Diabetes Endocrinology, Pa is physically located at Po Box 378, in the city of Coppell, TX, with the postal code 750190378.
What is Premier Diabetes Endocrinology, Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Premier Diabetes Endocrinology, Pa is Medical Specialty, and the taxonomy code that categorizes this field of expertise is 261Qm2500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1275698532 to Premier Diabetes Endocrinology, Pa?
The Centers for Medicare & Medicaid Services assigned the 1275698532 to Premier Diabetes Endocrinology, Pa on 2006-12-27.
When was the Premier Diabetes Endocrinology, Pa's information last updated?
The Premier Diabetes Endocrinology, Pa's information was last updated on 2011-04-08.
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