NPIMap

Organization Active NPI

Dcoa Physician Associates, PA

  • Medical Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1104047018
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
DCOA PHYSICIAN ASSOCIATES, PA
Practice address
12266 FM 1960
Houston, TX 77065
Phone
(713) 840-5110
Fax
(287) 469-9119
NPI assigned
May 1, 2007
Organization subpart
Yes
Parent organization
DCOA PHYSICIAN ASSOCIATES, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Mr. Chuck Dowling
Title
Ceo
Phone
(713) 840-5333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

12266 FM 1960
Houston, TX 77065

Mailing address

13100 Northwest Freeway
Suite # 400
Houston, TX 77040
Phone (832) 237-3500

Other names 1

  • DiabetesAmerica, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dcoa Physicians PA20 organizations share this tax ID, including this one
Part of
Dcoa Physicians PA

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

12266 FM 1960 Rd W
Houston, TX 77065
Phone (281) 367-9700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1104047018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 NORTHWEST FREEWAY",
            "address_2": "SUITE # 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77040",
            "telephone_number": "832-237-3500",
            "fax_number": "281-897-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12266 FM 1960",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77065",
            "telephone_number": "713-840-5110",
            "fax_number": "287-469-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCOA PHYSICIAN ASSOCIATES, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DCOA PHYSICIAN ASSOCIATES, PA",
        "enumeration_date": "2007-05-01",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "DOWLING",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-840-5333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DiabetesAmerica, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.