# DCOA PHYSICIAN ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIABETES AMERICA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265744007
- **Legal business name:** DIABETES AMERICA
- **Authorized official:** TINA JOHNSON (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (832) 237-3500

## Contact information

- **Practice address:** 6021 WALKER BLVD STE 121, NORTH RICHLAND HILLS, TX 76180-0903
- **Practice address phone:** (832) 237-3500
- **Practice address fax:** (832) 237-0200
- **Mailing address:** 6021 WALKER BLVD STE 121, NORTH RICHLAND HILLS, TX 76180-0903
- **Mailing address phone:** (832) 237-3500
- **Mailing address fax:** (832) 237-0200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 800382392 | TX | Yes |

## Other

- **Enumeration date:** 07/09/2010
- **Last updated:** 07/09/2010