# SAN ANTONIO INSTITUTE OF DIABETES, THYROID & ENDOCRINE DISORDERS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SAN ANTONIO INSTITUTE OF DIABETES, THYROID & ENDOCRINE DISORDERS, INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265160196
- **Authorized official:** MARLISE NEGRETTE (ACCOUNT MANAGER)
- **Authorized official phone:** (909) 793-5511

## Contact information

- **Practice address:** 4025 E SOUTHCROSS BLVD STE 7, SAN ANTONIO, TX 78222-3640
- **Practice address phone:** (210) 267-9229
- **Practice address fax:** (210) 267-8005
- **Mailing address:** 4025 E SOUTHCROSS BLVD STE 7, SAN ANTONIO, TX 78222-3640
- **Mailing address phone:** (210) 267-9229
- **Mailing address fax:** (210) 267-8005

## Taxonomy

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

## Other

- **Enumeration date:** 08/09/2022
- **Last updated:** 08/09/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1447296280 | — | WA |