# DIABETES & ENDOCRINE CENTER OF CENTRAL TEXAS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Diabetes & Endocrine Center of Central Texas PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760589782
- **Authorized official:** DR. MEERA AMAR M.D. (PRESIDENT)
- **Authorized official phone:** (254) 751-9777

## Contact information

- **Practice address:** 333 LONDONDERRY DR, SUITE \# 200, WACO, TX 76712-7900
- **Practice address phone:** (254) 751-9777
- **Practice address fax:** (254) 751-9788
- **Mailing address:** 333 LONDONDERRY DR, SUITE \# 200, WACO, TX 76712-7900
- **Mailing address phone:** (254) 751-9777
- **Mailing address fax:** (254) 751-9788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | G2630 | TX | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/31/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0086EH | BCBS | — |
| 05 | — | 081085501 | — | TX |
| 01 | — | 45D0704873 | CLIA DIABETES & ENDOCRINE | TX |
| 01 | — | CH8030 | RAILROAD MEDICARE | — |