Provider Demographics
NPI:1831666460
Name:TARRANT ENDOCRINE ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:TARRANT ENDOCRINE ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:VANI
Authorized Official - Middle Name:
Authorized Official - Last Name:KOTHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-684-5175
Mailing Address - Street 1:1615 HOSPITAL PKWY STE 202
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-5935
Mailing Address - Country:US
Mailing Address - Phone:817-684-5175
Mailing Address - Fax:817-684-5180
Practice Address - Street 1:1615 HOSPITAL PKWY STE 202
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-5935
Practice Address - Country:US
Practice Address - Phone:817-684-5175
Practice Address - Fax:817-684-5180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty