ENDOCRINOLOGY AND DIABETES SPECIALIST PA (NPI# 1639574403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639574403 |
| Entity Type | Organization |
| Organization Name | ENDOCRINOLOGY AND DIABETES SPECIALIST PA |
| Practice Address |
11970 N Central Expy Suite 630 Dallas TX 75243-3768 |
| Practice Telephone | 9729986711 |
| Practice Fax Number | 9724211677 |
| Mailing Telephone | 9729986711 |
| Mailing Fax Number | 9724211677 |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |
| Authorized Official Name | DR. MARYAM ZAMANIAN (PHYSICIAN OWNER) |
| Authorized Official Telephone | 9729986711 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
M0612 | TX | Ambulatory Health Care Facilities |
| Street Address |
11970 N CENTRAL EXPY SUITE 630 |
| City | DALLAS |
| State | TX |
| Zip Code | 75243-3768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619963808 | J Robert Wyatt | Specialist | 11970 N Central Expy, Suite 400, Dallas, TX 75243-3768 | 2005-09-22 |
| 1215497961 | Annalisa Tuyet Bui Creech | Nurse Practitioner | 11970 N Central Expy, Dallas, TX 75243-3768 | 2019-03-20 |
| 1235688102 | C M First Assisting, Inc. | Physician Assistant | 11970 N Central Expy, Suite 500, Dallas, TX 75243-3768 | 2016-10-03 |
| 1265986442 | J Alexander Md Pa | Nurse Anesthetist, Certified Registered | 11970 N Central Expy, Ste 600, Dallas, TX 75243-3768 | 2016-08-05 |
| 1093161333 | Excel Neuro-diagnostics LLC | Specialist/Technologist, Other | 11970 N Central Expy, Dallas, TX 75243-3768 | 2016-05-05 |
| 1518344142 | Icon Professional Services, Inc. | Clinic/Center | 11970 N Central Expy, Suite 500, Dallas, TX 75243-3768 | 2015-05-04 |
| 1609202704 | Spine Institute of Texas, Pllc | Specialist | 11970 N Central Expy, Suite 450, Dallas, TX 75243-3768 | 2013-09-20 |
| 1710321146 | Rem Sleep Diagnostics Frisco LLC | Clinic/Center | 11970 N Central Expy, Ste. 640, Dallas, TX 75243-3768 | 2013-04-29 |
| 1730523168 | Sleep Remedies Frisco LLC | Clinic/Center | 11970 N Central Expy, Ste. 640, Dallas, TX 75243-3768 | 2013-04-29 |
| 1326482753 | Somny Tech Sleep Services Frisco LLC | Durable Medical Equipment & Medical Supplies | 11970 N Central Expy, Ste. 640b, Dallas, TX 75243-3768 | 2013-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164061644 | Iari | Clinic/Center | 12606 Greenville Ave Ste 190b, Dallas, TX 75243-1921 | 2019-12-31 |
| 1144761404 | Sandra Illum Md Pllc | Clinic/Center | 17101 Preston Rd Ste 190s, Dallas, TX 75248-1331 | 2017-03-20 |
| 1669727012 | The Snoring Center | Clinic/Center | 6901 Snider Plz Ste 225, Dallas, TX 75205-5650 | 2012-07-20 |
| 1073895694 | Robert Gordon Duchouquette Sr. | Clinic/Center | 4435 Laren Ln, Dallas, TX 75244-6712 | 2011-09-10 |
| 1689970295 | R Anthony Moore Md Pa | Clinic/Center | 3838 Oak Lawn, 908, Dallas, TX 75219-4520 | 2011-01-28 |
| 1912163239 | Ann E. Lutich, Md Pa | Clinic/Center | 8160 Walnut Hill Ln Ste 306, Dallas, TX 75231-4391 | 2008-08-06 |
| 1497951321 | Texas Vestibular Diagnostics | Clinic/Center | 12800 Preston Rd Ste 101, Dallas, TX 75230-1366 | 2007-06-26 |
| 1871794800 | Hand & Upper Extremity Center | Clinic/Center | 7989 W Virginia Dr # 105, Dallas, TX 75237-3765 | 2007-05-29 |
| 1295886455 | Aaron Women's Health Center, M.d.p.a. | Clinic/Center | 6546 Lyndon B Johnson Fwy, Dallas, TX 75240-6502 | 2007-01-15 |
| 1376651117 | Ivette C Lozano | Clinic/Center | 10425 Garland Rd, Dallas, TX 75218-2926 | 2006-08-29 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.