# TEXAS DIABETES AND ENDOCRINOLOGY PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083888523
- **Authorized official:** THOMAS C BLEVINS M.D. (PRESIDENT)
- **Authorized official phone:** (512) 458-8400

## Contact information

- **Practice address:** 170 DEEPWOOD DR, SUITE 104, ROUND ROCK, TX 78681-4944
- **Practice address phone:** (512) 458-8400
- **Practice address fax:** (512) 458-8593
- **Mailing address:** 6500 NORTH MOPAC, BLDG. 3, SUITE 200, AUSTIN, TX 78731
- **Mailing address phone:** (512) 458-8400
- **Mailing address fax:** (512) 458-8593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | TX | Yes |
| 364S00000X | Clinical Nurse Specialist | — | TX | — |

## Other

- **Enumeration date:** 04/16/2008
- **Last updated:** 07/18/2008