| Diabetes & Endocrine Center Of Central Texas Pa | |
|
333 Londonderry Dr Suite # 200 Waco TX 76712-7900 | |
| (254) 751-9777 | |
| (254) 751-9788 |
| Full Name | Diabetes & Endocrine Center Of Central Texas Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 333 Londonderry Dr, Waco, Texas |
| Authorized Official Name and Position | Meera Amar (PRESIDENT) |
| Authorized Official Contact | 2547519777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes & Endocrine Center Of Central Texas Pa 333 Londonderry Dr Suite # 200 Waco TX 76712-7900 Ph: (254) 751-9777 | Diabetes & Endocrine Center Of Central Texas Pa 333 Londonderry Dr Suite # 200 Waco TX 76712-7900 Ph: (254) 751-9777 |
| NPI Number | 1760589782 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/31/2010 |
| Medicare PECOS PAC ID | 8426946930 |
|---|---|
| Medicare Enrollment ID | O20040308000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760589782 | NPI | - | NPPES |
| 0086EH | Other | BCBS | |
| 45D0704873 | Other | TX | CLIA DIABETES & ENDOCRINE |
| 081085501 | Medicaid | TX | |
| CH8030 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | G2630 (Texas) | Primary |
| Provider Name | Meera Amar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689670184 PECOS PAC ID: 5496643918 Enrollment ID: I20100902000313 |
| Provider Name | Janice Lynn Patluk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235209008 PECOS PAC ID: 0648395814 Enrollment ID: I20100910000698 |
| Provider Name | Michelle L Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992108518 PECOS PAC ID: 4981929304 Enrollment ID: I20150206000138 |
| Provider Name | Ligia Tofanel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578075081 PECOS PAC ID: 5890053656 Enrollment ID: I20171227002601 |
| Provider Name | Theresa L Haddox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477033868 PECOS PAC ID: 9133558547 Enrollment ID: I20200407000566 |
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Waco Regional Cancer Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3420 Pine Ave, Waco, TX 76708 Phone: 254-752-2900 Fax: 254-752-2902 | |
Careconnect Medical Group P.l.l.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Lake Shore Dr Apt 121, Waco, TX 76708 Phone: 254-498-6671 | |
Medico Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1437 S. Valley Mills Drive, Waco, TX 76711 Phone: 254-221-1901 Fax: 254-221-1909 | |
Mark H. Dickie, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 782 Dry Creek Rd, Waco, TX 76705 Phone: 254-870-4417 Fax: 254-230-4493 | |
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