Provider Demographics
NPI:1770197816
Name:DIABETES & ENDOCRINOLOGY CLINIC OF SOUTH TEXAS PLLC
Entity Type:Organization
Organization Name:DIABETES & ENDOCRINOLOGY CLINIC OF SOUTH TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:AZHAR
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:616-856-0069
Mailing Address - Street 1:3212 S SUGAR RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-3693
Mailing Address - Country:US
Mailing Address - Phone:956-230-4971
Mailing Address - Fax:956-230-4972
Practice Address - Street 1:620 N ED CAREY DR
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7912
Practice Address - Country:US
Practice Address - Phone:956-230-4971
Practice Address - Fax:956-230-4972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-05
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty