| North Texas Endocrinology And Diabetes Center, P.a. | |
|
14725 Lebanon Road Suite 100 Frisco TX 75035 | |
| (214) 705-9000 | |
| (214) 619-5675 |
| Full Name | North Texas Endocrinology And Diabetes Center, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 14725 Lebanon Road, Frisco, Texas |
| Authorized Official Name and Position | Jasbir Dhawan (PRESIDENT) |
| Authorized Official Contact | 2147059000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Texas Endocrinology And Diabetes Center, P.a. 14725 Lebanon Road Suite 100 Frisco TX 75035 Ph: (214) 705-9000 | North Texas Endocrinology And Diabetes Center, P.a. 14725 Lebanon Road Suite 100 Frisco TX 75035 Ph: (214) 705-9000 |
| NPI Number | 1013151935 |
|---|---|
| Provider Enumeration Date | 04/22/2009 |
| Last Update Date | 01/05/2015 |
| Medicare PECOS PAC ID | 7416001417 |
|---|---|
| Medicare Enrollment ID | O20090810000506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013151935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | N0729 (Texas) | Primary |
| Provider Name | Jasbir Dhawan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063458230 PECOS PAC ID: 3971578964 Enrollment ID: I20090807000662 |
| Provider Name | Merin Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861844276 PECOS PAC ID: 1658655196 Enrollment ID: I20170301002318 |
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