# DIABETES & ENDOCRINE ASSOCIATES OF TARRANT COUNTY, L.L.P.

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

## Provider details

- **NPI number:** 1851305460
- **Authorized official:** ASHLEY MOLIDOR (PRACTICE MANAGER)
- **Authorized official phone:** (817) 820-2897

## Contact information

- **Practice address:** 2000 COOPER ST STE 120, FORT WORTH, TX 76104-2535
- **Practice address phone:** (817) 820-2890
- **Practice address fax:** (817) 810-0725
- **Mailing address:** 2000 COOPER ST STE 120, FORT WORTH, TX 76104-2535
- **Mailing address phone:** (817) 820-2890
- **Mailing address fax:** (817) 810-0725

## Taxonomy

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

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 02/07/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 080636601 | — | TX |