| Endo Diabetes Institute | |
|
920 E Highway 67 Ste 100 Duncanville TX 75137-2713 | |
| (214) 471-5407 | |
| Not Available |
| Full Name | Endo Diabetes Institute |
|---|---|
| Speciality | Internal Medicine |
| Location | 920 E Highway 67 Ste 100, Duncanville, Texas |
| Authorized Official Name and Position | Omar Manlapaz (OWNER) |
| Authorized Official Contact | 2145526627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endo Diabetes Institute 14850 Montfort Drive Suite 181, Lb 11 Dallas TX 75254 Ph: (214) 550-1469 | Endo Diabetes Institute 920 E Highway 67 Ste 100 Duncanville TX 75137-2713 Ph: (214) 471-5407 |
| NPI Number | 1891353942 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 06/04/2019 |
| Medicare PECOS PAC ID | 4284969213 |
|---|---|
| Medicare Enrollment ID | O20190715000501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891353942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Omar Tan Manlapaz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730348426 PECOS PAC ID: 1052636586 Enrollment ID: I20150204001631 |
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