Organization
DCOA PHYSICIAN ASSOCIATES PA
Active
Parent organization
DCOA PHYSICIAN ASSOCIATES PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
DCOA PHYSICIAN ASSOCIATES PA
Authorized official
TINA JOHNSON (CREDENTIALING COORDINATOR)
(713) 840-5245
Entity
Organization
Contact information
Practice address
NEC LITCHFIELD & MCDOWELL ROAD, BUILDING A SUITE 104, GOODYEAR, AZ 85338
(832) 237-3500
(832) 237-0200
Mailing address
3 RIVERWAY, SUITE 825, HOUSTON, TX 77056-1919
(713) 840-5245
(281) 897-9906
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
03/20/2008
Last updated
06/24/2008
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