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Organization
DCOA PHYSICIAN ASSOCIATES PA
Active
Organization
DCOA PHYSICIAN ASSOCIATES PA
Active
Other names
DCOA Physician Associates, P.A., Diabetes America
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL D LYDE MD (SECRETARY)
(214) 681-4913
Entity
Organization
Contact information
Practice address
1100 ORCHARD DR STE A, ARLINGTON, TX 76012-2519
(817) 855-1035
Mailing address
5416 EDGEHOLLOW PL, DALLAS, TX 75287-7505
(214) 802-8016
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/21/2008
Last updated
07/21/2022
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