Organization
DALLAS DIABETES AND ENDOCRINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALOMON BANARER MD (PHYSICIAN)
(972) 566-7799
Entity
Organization
Contact information
Practice address
7777 FOREST LN, SUITE C-685, DALLAS, TX 75230-2571
(972) 566-7799
(972) 566-7399
Mailing address
7777 FOREST LN, SUITE C-685, DALLAS, TX 75230-2571
(972) 566-7799
(972) 566-7399
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
M1490
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
612632
MEDICARE PTAN
—
Enumeration date
01/12/2016
Last updated
01/12/2016
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