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NPI Code Detail

MEDICARE: THYROID, ENDOCRINOLOGY AND DIABETES, PA

MEDICARE: THYROID, ENDOCRINOLOGY AND DIABETES, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RE0101XEndocrinology, Diabetes & Metabolism PhysicianM3223TX

General Provider Information

NPI Number : 1750521639
Entity Type Code : Organization
Provider Name (Legal Business Name) : THYROID, ENDOCRINOLOGY AND DIABETES, PA
Provider Business Mailing Address
First Line : 1018 N ZANG BLVD STE 110
Second Line :
City : DALLAS
State : TX
Zip : 75208-4123
Country : US
Telephone Number : 214-412-2160
Fax Number : 972-427-5151
Provider Business Practice Location Address
First Line : 1018 N ZANG BLVD STE 110
Second Line :
City : DALLAS
State : TX
Zip : 75208-4123
Country : US
Telephone Number : 214-412-2160
Fax Number : 972-427-5151
Authorized Official
Title or Position : DIRECTOR
Name : DR. STEVE VINCENT ESTOY FORDAN
Credential : MD
Telephone Number : 972-693-3871
Provider Enumeration Date : 03/04/2009
Last Update Date : 10/22/2025

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Directions to “THYROID, ENDOCRINOLOGY AND DIABETES, PA ” Practice Location

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