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General NPI Number Information
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NPI Number | 1326373143
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Entity Type | Organization
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Legal Business Name | DIABETES AND THYROID CENTER OF FORT WORTH, PLLC
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Dates
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Enumeration Date | 10/13/2009
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 6844 HARRIS PARKWAY
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City | FT. WORTH
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State | TX
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Zip | 76132
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Country | US
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Telephone | 817-263-0007
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Fax | 817-263-1118
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Provider Business Mailing Address
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Address Line | 6844 HARRIS PKWY STE 300
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City | FORT WORTH
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State | TX
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Zip | 76132-4281
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Country | US
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Telephone | 817-263-0007
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Fax | 817-263-1118
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Authorized Official
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Title or Position | OWNER
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Name | DARREN WAYNE LACKAN
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Credential | MD
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Telephone | 682-225-1157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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