Organization
TEXAS DIABETES AND ENDOCRINOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS C BLEVINS M.D. (PRESIDENT)
(512) 458-8400
Entity
Organization
Contact information
Practice address
170 DEEPWOOD DR, SUITE 104, ROUND ROCK, TX 78681-4944
(512) 458-8400
(512) 458-8593
Mailing address
6500 NORTH MOPAC, BLDG. 3, SUITE 200, AUSTIN, TX 78731
(512) 458-8400
(512) 458-8593
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
TX
364S00000X
Clinical Nurse Specialist
—
TX
Other
Enumeration date
04/16/2008
Last updated
07/18/2008
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