Provider Demographics
NPI:1891286738
Name:LAS COLINAS ENDOCRINOLOGY, P.A.
Entity Type:Organization
Organization Name:LAS COLINAS ENDOCRINOLOGY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMATA
Authorized Official - Middle Name:
Authorized Official - Last Name:BASANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-263-2627
Mailing Address - Street 1:1153 W JOHN CARPENTER FWY STE 102
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-2524
Mailing Address - Country:US
Mailing Address - Phone:469-291-0770
Mailing Address - Fax:888-443-9001
Practice Address - Street 1:1153 W JOHN CARPENTER FWY
Practice Address - Street 2:STE 102
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039
Practice Address - Country:US
Practice Address - Phone:469-291-0770
Practice Address - Fax:888-443-9001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-26
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty