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General NPI Number Information
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NPI Number | 1770197816
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Entity Type | Organization
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Legal Business Name | DIABETES & ENDOCRINOLOGY CLINIC OF SOUTH TEXAS PLLC
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Dates
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Enumeration Date | 09/05/2020
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 620 N ED CAREY DR
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City | HARLINGEN
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State | TX
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Zip | 78550-7912
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Country | US
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Telephone | 956-230-4971
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Fax | 956-230-4972
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Provider Business Mailing Address
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Address Line | 3212 S SUGAR RD
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City | EDINBURG
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State | TX
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Zip | 78539-3693
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Country | US
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Telephone | 956-230-4971
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Fax | 956-230-4972
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Authorized Official
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Title or Position | PRESIDENT
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Name | SYED AZHAR HASSAN
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Credential | MD
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Telephone | 956-230-4971
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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 | NULL
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