| Prime Endocrinology And Diabetes | |
|
7429 Las Colinas Blvd Ste 101 Irving TX 75063-7573 | |
| (469) 442-0202 | |
| Not Available |
| Full Name | Prime Endocrinology And Diabetes |
|---|---|
| Speciality | Internal Medicine |
| Location | 7429 Las Colinas Blvd Ste 101, Irving, Texas |
| Authorized Official Name and Position | Priyanka Agarwal (PRESIDENT) |
| Authorized Official Contact | 7155519009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Endocrinology And Diabetes 8308 Charleston St Irving TX 75063-8000 Ph: () - | Prime Endocrinology And Diabetes 7429 Las Colinas Blvd Ste 101 Irving TX 75063-7573 Ph: (469) 442-0202 |
| NPI Number | 1396370730 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 05/17/2020 |
| Medicare PECOS PAC ID | 7719308493 |
|---|---|
| Medicare Enrollment ID | O20200604002147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396370730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Priyanka Agarwal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326466145 PECOS PAC ID: 9133436512 Enrollment ID: I20191209000919 |
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