Organization
DCOA PHYSICIAN ASSOCIATES PA
Active
Parent organization
DIABETES AMERICA
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIABETES AMERICA
Authorized official
TINA JOHNSON (CREDENTIALING COORDINATOR)
(832) 237-3500
Entity
Organization
Contact information
Practice address
6021 WALKER BLVD STE 121, NORTH RICHLAND HILLS, TX 76180-0903
(832) 237-3500
(832) 237-0200
Mailing address
6021 WALKER BLVD STE 121, NORTH RICHLAND HILLS, TX 76180-0903
(832) 237-3500
(832) 237-0200
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
800382392
TX
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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