# ENDOCRINOLOGY CLINIC OF NORTH TEXAS, P.A.

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

## Provider details

- **NPI number:** 1952437584
- **Authorized official:** KATHERINE JACOB M.D. (PRESIDENT)
- **Authorized official phone:** (214) 547-7557

## Contact information

- **Practice address:** 1105 CENTRAL EXPY N, SUITE 2360, ALLEN, TX 75013-6103
- **Practice address phone:** (214) 547-7557
- **Mailing address:** PO BOX 2486, ADDISON, TX 75001-2486
- **Mailing address phone:** (972) 991-9950
- **Mailing address fax:** (972) 991-4026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | L2344 | TX | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0031MY | FEDERAL BCBS | TX |