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Organization

DIABETIC CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL BINGHAM (MANAGING MEMBER)
(817) 564-2414
Entity
Organization

Contact information

Practice address
1600 LANCASTER DR STE 102, GRAPEVINE, TX 76051-3579
(817) 481-4000
(877) 294-5802
Mailing address
2807 ALLEN ST STE 2210, DALLAS, TX 75204-1031
(817) 481-4000
(877) 294-5802

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
12/13/2023
Last updated
12/13/2023
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