Organization Active NPI

Endocrinology of Northern Texas PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Wichita Falls, TX
National Provider Identifier
1033418017
Registry record updated Aug 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ENDOCRINOLOGY OF NORTHERN TEXAS PLLC
Practice address
5 Eureka Cir
Suite a
Wichita Falls, TX 76308-2900
Phone
(203) 531-6586
NPI assigned
Mar 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Duben, M.D.
Title
Owner/ Sole Member
Phone
(203) 531-6586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

5 Eureka Cir
Suite a
Wichita Falls, TX 76308-2900

Mailing address

5 Eureka Cir
Suite a
Wichita Falls, TX 76308-2900
Phone (203) 531-6586

National Provider Directory

National Provider Directory

Locations

5 Eureka Cir
Ste A
Wichita Falls, TX 76308
Phone (940) 691-6066

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345334400000",
    "number": "1033418017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EUREKA CIR",
            "address_2": "SUITE A",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082900",
            "telephone_number": "203-531-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EUREKA CIR",
            "address_2": "SUITE A",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082900",
            "telephone_number": "203-531-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINOLOGY OF NORTHERN TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2012-08-19",
        "status": "A",
        "authorized_official_last_name": "DUBEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/ SOLE MEMBER",
        "authorized_official_telephone_number": "203-531-6586",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.