Diabetes And Glandular Disease Clinic Certified Diabetes Education Cen

LBN: Diabetes And Glandular Disease Clinic Certified Diabetes Education Cen
Diabetes And Glandular Disease Clinic Certified Diabetes Education Cen is an health care organization with primary practice located at 5107 Medical Dr , San Antonio TX 78229-4801. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Diabetes And Glandular Disease Clinic Certified Diabetes Education Cen can be contacted via phone (210) 614-8612, or through Bagwell, Joseph via phone (210) 615-5541.

Contact Information

Primary practice address
5107 Medical Dr San Antonio TX 78229-4801
Fax: (210) 615-1666
Website:
Authorized official contact:
Name: Bagwell, Joseph Medical Technologist (MT)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1629391842
LBN Legal business name Diabetes And Glandular Disease Clinic Certified Diabetes Education Cen
DBA Doing business as
Authorized official Bagwell, Joseph Medical Technologist (MT)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2010
Last updated Aug 24th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629391842 NPPES
Texas MEDICAID 121762202

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