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Organization
DCOA PHYSICIAN ASSOCIATES PA
Active
Organization
DCOA PHYSICIAN ASSOCIATES PA
Active
Parent organization
DIABETES AMERICA
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIABETES AMERICA
Authorized official
TINA JOHNSON (CREDENTIALING COORDINATOR)
(832) 237-3500
Entity
Organization
Contact information
Practice address
6021 WALKER BLVD STE 121, NORTH RICHLAND HILLS, TX 76180-0903
(832) 237-3500
(832) 237-0200
Mailing address
6021 WALKER BLVD STE 121, NORTH RICHLAND HILLS, TX 76180-0903
(832) 237-3500
(832) 237-0200
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
800382392
TX
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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