| Southwest Diabetes And Endocrinology | |
|
3602 Matlock Rd Ste 202 Arlington TX 76015-3600 | |
| (682) 302-0430 | |
| Not Available |
| Full Name | Southwest Diabetes And Endocrinology |
|---|---|
| Speciality | Internal Medicine |
| Location | 3602 Matlock Rd Ste 202, Arlington, Texas |
| Authorized Official Name and Position | Adriane Alexander (CONSULTANT) |
| Authorized Official Contact | 2145501469 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Diabetes And Endocrinology 14850 Montfort Drive Suite 181, Lb 11 Dallas TX 75254 Ph: (214) 550-1469 | Southwest Diabetes And Endocrinology 3602 Matlock Rd Ste 202 Arlington TX 76015-3600 Ph: (682) 302-0430 |
| NPI Number | 1407322449 |
|---|---|
| Provider Enumeration Date | 10/17/2018 |
| Last Update Date | 04/10/2020 |
| Medicare PECOS PAC ID | 5092059204 |
|---|---|
| Medicare Enrollment ID | O20181128003271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407322449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Chandana Konduru |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669423281 PECOS PAC ID: 9335165620 Enrollment ID: I20151205000224 |
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