| Diabetes And Endocrinology Clinical Consultants Of Texas | |
|
890 Rockwall Pkwy Ste 102 Rockwall TX 75032-6871 | |
| (972) 475-5600 | |
| (972) 475-5668 |
| Full Name | Diabetes And Endocrinology Clinical Consultants Of Texas |
|---|---|
| Speciality | Internal Medicine |
| Location | 890 Rockwall Pkwy Ste 102, Rockwall, Texas |
| Authorized Official Name and Position | Carlos Arauz-pacheco (PRESIDENT) |
| Authorized Official Contact | 9729798237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes And Endocrinology Clinical Consultants Of Texas 890 Rockwall Pkwy Ste 102 Rockwall TX 75032-6871 Ph: (972) 475-5600 | Diabetes And Endocrinology Clinical Consultants Of Texas 890 Rockwall Pkwy Ste 102 Rockwall TX 75032-6871 Ph: (972) 475-5600 |
| NPI Number | 1609889138 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 04/29/2020 |
| Medicare PECOS PAC ID | 7810967957 |
|---|---|
| Medicare Enrollment ID | O20040727001527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609889138 | NPI | - | NPPES |
| 181723101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | J2481 (Texas) | Primary |
| Provider Name | Pauline H Pagel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215074638 PECOS PAC ID: 8628968492 Enrollment ID: I20040316001173 |
| Provider Name | Carlos Arauz Pacheco |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992766448 PECOS PAC ID: 6800866948 Enrollment ID: I20040728000311 |
| Provider Name | Dan Lender |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760445274 PECOS PAC ID: 2466624358 Enrollment ID: I20111019000592 |
| Provider Name | Erin D. Roe |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174726590 PECOS PAC ID: 2062660780 Enrollment ID: I20120920000683 |
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