# TEXAS DIABETES AND ENDOCRINOLOGY, P.A.

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

## Provider details

- **NPI number:** 1467427419
- **Authorized official:** TIFFANY REICHLE (OFFICE MANAGER)
- **Authorized official phone:** (512) 458-8400

## Contact information

- **Practice address:** 6500 NORTH MO PAC EXPRESSWAY, BUILDING 3, SUITE 200, AUSTIN, TX 78731
- **Practice address phone:** (512) 458-8400
- **Practice address fax:** (512) 458-8593
- **Mailing address:** 6500 NORTH MO PAC EXPRESSWAY, BUILDING 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 | — | — | Yes |
| 363A00000X | Physician Assistant | — | TX | — |
| 364S00000X | Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 02/22/2006
- **Last updated:** 05/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 710R | BCBS GROUP \# | TX |