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Organization
DIABETES & ENDOCRINE ASSOCIATES OF TARRANT COUNTY, L.L.P.
Active
Organization
DIABETES & ENDOCRINE ASSOCIATES OF TARRANT COUNTY, L.L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY MOLIDOR (PRACTICE MANAGER)
(817) 820-2897
Entity
Organization
Contact information
Practice address
2000 COOPER ST STE 120, FORT WORTH, TX 76104-2535
(817) 820-2890
(817) 810-0725
Mailing address
2000 COOPER ST STE 120, FORT WORTH, TX 76104-2535
(817) 820-2890
(817) 810-0725
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080636601
—
TX
Enumeration date
07/28/2006
Last updated
02/07/2020
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