Organization
DIABETESAMERICA
Active
Organization
DIABETESAMERICA
Active
Parent organization
DCOA-PA, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
DCOA-PA, PA
Authorized official
NAKEVA TILLEY (DIRECTOR OF OPERATIONS)
(713) 840-5153
Entity
Organization
Contact information
Practice address
1708 COIT RD, SUITE 100, PLANO, TX 75075-5024
(469) 467-0400
Mailing address
1708 COIT RD, SUITE 100, PLANO, TX 75075-5024
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
DT81042
TX
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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