# DALLAS DIABETES AND ENDOCRINE CENTER

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

## Provider details

- **NPI number:** 1245696806
- **Authorized official:** DR. SALOMON BANARER MD (PHYSICIAN)
- **Authorized official phone:** (972) 566-7799

## Contact information

- **Practice address:** 7777 FOREST LN, SUITE C-685, DALLAS, TX 75230-2571
- **Practice address phone:** (972) 566-7799
- **Practice address fax:** (972) 566-7399
- **Mailing address:** 7777 FOREST LN, SUITE C-685, DALLAS, TX 75230-2571
- **Mailing address phone:** (972) 566-7799
- **Mailing address fax:** (972) 566-7399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | M1490 | TX | Yes |

## Other

- **Enumeration date:** 01/12/2016
- **Last updated:** 01/12/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 612632 | MEDICARE PTAN | — |