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Premier Diabetes Endocrinology, Pa
Medical Specialty Clinic/Center in Carrollton, Texas
NPI 1275698532

Premier Diabetes Endocrinology, Pa is a Medical Specialty Clinic/Center based in Coppell, TX and is specialized in Medical Specialty. Premier Diabetes Endocrinology, Pa practices in Carrollton, TX. The NPI Number for Premier Diabetes Endocrinology, Pa is 1275698532 and holds a License No. (Texas).

The current practice location address for Premier Diabetes Endocrinology, Pa is 4100 Fairway Dr Ste 620, Carrollton, TX and can be reached out via phone at 972-492-9901 and via fax at 972-492-9902.

Location: 4100 Fairway Dr Ste 620, Carrollton, TX, 75019-0378
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275698532
Provider Name
Premier Diabetes Endocrinology, Pa
Credential
Provider Entity Type
Organization
Address
4100 Fairway Dr Ste 620, Carrollton, TX, 75019-0378
Phone Number
972-492-9901
Fax Number
972-492-9902
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0011LM 01 TX BCBS
167630601 05 TX
institution
Provider Business Practice Location Address Details
Address
4100 Fairway Dr Ste 620
City
Carrollton
State
Texas
Zip
75010-6539
Phone Number
972-492-9901
Fax Number
972-492-9902
person
Provider Business Mailing Address Details
Address
4100 Fairway Dr Ste 620
City
Carrollton
State
Texas
Zip
75010-6539
Phone Number
972-492-9901
Fax Number
972-492-9902
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
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 public health needs (e.g., infectious diseases or breast and cervical cancer).
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