Healthcare Provider Details
I. General information
NPI: 1659301380
Provider Name (Legal Business Name): NORTH TEXAS ENDOCRINE CENTER, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/05/2006
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9301 N CENTRAL EXPY SUITE 570
DALLAS TX
75231-0806
US
IV. Provider business mailing address
9301 N CENTRAL EXPY SUITE 570
DALLAS TX
75231-0806
US
V. Phone/Fax
- Phone: 214-369-5992
- Fax: 214-369-2414
- Phone: 214-369-5992
- Fax: 214-369-2414
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RE0101X |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JONATHAN
D
LEFFERT
Title or Position: PRESIDENT
Credential: M.D.
Phone: 214-369-5992