| Texas Diabetes And Endocrinology Pa | |
|
170 Deepwood Dr Suite 104 Round Rock TX 78681-4944 | |
| (512) 458-8400 | |
| (512) 458-8593 |
| Full Name | Texas Diabetes And Endocrinology Pa |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 170 Deepwood Dr, Round Rock, Texas |
| Authorized Official Name and Position | Thomas C Blevins (PRESIDENT) |
| Authorized Official Contact | 5124588400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Diabetes And Endocrinology Pa 6500 North Mopac Bldg. 3, Suite 200 Austin TX 78731 Ph: (512) 458-8400 | Texas Diabetes And Endocrinology Pa 170 Deepwood Dr Suite 104 Round Rock TX 78681-4944 Ph: (512) 458-8400 |
| NPI Number | 1083888523 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 07/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083888523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (Texas) | Primary |
| 364S00000X | Clinical Nurse Specialist | (Texas) | Secondary |
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