Organization
ENDOCRINOLOGY CLINIC OF NORTH TEXAS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE JACOB M.D. (PRESIDENT)
(214) 547-7557
Entity
Organization
Contact information
Practice address
1105 CENTRAL EXPY N, SUITE 2360, ALLEN, TX 75013-6103
(214) 547-7557
Mailing address
PO BOX 2486, ADDISON, TX 75001-2486
(972) 991-9950
(972) 991-4026
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
L2344
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031MY
FEDERAL BCBS
TX
Enumeration date
02/26/2007
Last updated
08/22/2020
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