| Texas Endocrinology Pllc | |
|
1721 Birmingham Dr Ste 200 College Station TX 77845-4081 | |
| (979) 977-7012 | |
| (979) 977-7013 |
| Full Name | Texas Endocrinology Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1721 Birmingham Dr Ste 200, College Station, Texas |
| Authorized Official Name and Position | Dean P Blevins (MD) |
| Authorized Official Contact | 9799777012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Endocrinology Pllc 1721 Birmingham Dr Ste 200 College Station TX 77845-4081 Ph: (817) 573-9800 | Texas Endocrinology Pllc 1721 Birmingham Dr Ste 200 College Station TX 77845-4081 Ph: (979) 977-7012 |
| NPI Number | 1083177364 |
|---|---|
| Provider Enumeration Date | 04/12/2019 |
| Last Update Date | 05/03/2019 |
| Medicare PECOS PAC ID | 4587997515 |
|---|---|
| Medicare Enrollment ID | O20190606001802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083177364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Dean Phillip Blevins |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992055537 PECOS PAC ID: 8628367414 Enrollment ID: I20160518000746 |
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