| Las Colinas Endocrinology, P.a. | |
|
1153 W John Carpenter Fwy Ste 102 Irving TX 75039 | |
| (469) 291-0770 | |
| (888) 443-9001 |
| Full Name | Las Colinas Endocrinology, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1153 W John Carpenter Fwy, Irving, Texas |
| Authorized Official Name and Position | Samata Basani (DIRECTOR) |
| Authorized Official Contact | 2142632627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Colinas Endocrinology, P.a. 1153 W John Carpenter Fwy Ste 102 Irving TX 75039-2524 Ph: (469) 291-0770 | Las Colinas Endocrinology, P.a. 1153 W John Carpenter Fwy Ste 102 Irving TX 75039 Ph: (469) 291-0770 |
| NPI Number | 1891286738 |
|---|---|
| Provider Enumeration Date | 05/26/2018 |
| Last Update Date | 07/13/2023 |
| Medicare PECOS PAC ID | 7315293420 |
|---|---|
| Medicare Enrollment ID | O20180703001578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891286738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Samata Basani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689929820 PECOS PAC ID: 8820246358 Enrollment ID: I20150610000355 |
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