Provider Demographics
NPI:1558567891
Name:TEXAS ENDOCRINOLOGY GROUP,PA
Entity Type:Organization
Organization Name:TEXAS ENDOCRINOLOGY GROUP,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOCCALANDRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD MPH
Authorized Official - Phone:713-800-6212
Mailing Address - Street 1:6624 FANNIN ST STE 2380
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2308
Mailing Address - Country:US
Mailing Address - Phone:713-800-6212
Mailing Address - Fax:713-800-6241
Practice Address - Street 1:6624 FANNIN ST STE 2380
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2308
Practice Address - Country:US
Practice Address - Phone:713-800-6212
Practice Address - Fax:713-800-6241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Y470Medicare PIN