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Organization
DIABETES & ENDOCRINE CENTER OF CENTRAL TEXAS PA
Active
Organization
DIABETES & ENDOCRINE CENTER OF CENTRAL TEXAS PA
Active
Other names
Diabetes & Endocrine Center of Central Texas PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEERA AMAR M.D. (PRESIDENT)
(254) 751-9777
Entity
Organization
Contact information
Practice address
333 LONDONDERRY DR, SUITE # 200, WACO, TX 76712-7900
(254) 751-9777
(254) 751-9788
Mailing address
333 LONDONDERRY DR, SUITE # 200, WACO, TX 76712-7900
(254) 751-9777
(254) 751-9788
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G2630
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0086EH
BCBS
—
05
—
081085501
—
TX
01
—
45D0704873
CLIA DIABETES & ENDOCRINE
TX
01
—
CH8030
RAILROAD MEDICARE
—
Enumeration date
09/20/2006
Last updated
08/31/2010
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