Diabetes And Glandular Disease Clinic Pa

LBN: Diabetes And Glandular Disease Clinic Pa
Diabetes And Glandular Disease Clinic Pa is an health care organization with primary practice located at 5107 Medical Dr , San Antonio TX 78229. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as the primary health care specialty. Diabetes And Glandular Disease Clinic Pa can be contacted via phone (210) 614-8612, or through Vadakekalam, Jacob via phone (210) 615-5541.

Contact Information

Primary practice address
5107 Medical Dr San Antonio TX 78229
Phone: (210) 614-8612
Fax: (210) 615-5596
Website:
Map and Directions
Authorized official contact:
Name: Vadakekalam, Jacob Doctor of Medicine (MD)
Phone: (210) 615-5541

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X

Profile Details

NPI number 1427166305
LBN Legal business name Diabetes And Glandular Disease Clinic Pa
DBA Doing business as
Authorized official Vadakekalam, Jacob Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2006
Last updated Jun 9th, 2022 - about 3 years ago

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 1427166305 NPPES
Texas MEDICAID 121762202

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