# DCOA PHYSICIAN ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DCOA PHYSICIAN ASSOCIATES PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790956464
- **Legal business name:** DCOA PHYSICIAN ASSOCIATES PA
- **Authorized official:** TINA JOHNSON (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (713) 840-5245

## Contact information

- **Practice address:** NEC LITCHFIELD & MCDOWELL ROAD, BUILDING A SUITE 104, GOODYEAR, AZ 85338
- **Practice address phone:** (832) 237-3500
- **Practice address fax:** (832) 237-0200
- **Mailing address:** 3 RIVERWAY, SUITE 825, HOUSTON, TX 77056-1919
- **Mailing address phone:** (713) 840-5245
- **Mailing address fax:** (281) 897-9906

## Taxonomy

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

## Other

- **Enumeration date:** 03/20/2008
- **Last updated:** 06/24/2008