Southwestern Diabetic Physicians Association

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

G8080 Issued in TX

Legal business name

SOUTHWESTERN DIABETIC PHYSICIANS ASSOCIATION

Practice address

10687 FM 678
Whitesboro, TX 76273-4840

Phone

(940) 665-2011

Fax

(940) 665-9467

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert D Vandermeer, M.D.

Title

President

Phone

(940) 665-2011

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295870459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 918",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762410918",
            "telephone_number": "940-665-2011",
            "fax_number": "940-665-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10687 FM 678",
            "city": "WHITESBORO",
            "state": "TX",
            "postal_code": "762734840",
            "telephone_number": "940-665-2011",
            "fax_number": "940-665-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN DIABETIC PHYSICIANS ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANDERMEER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-665-2011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "TX",
            "license": "G8080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Redfearn
• Karleigh M Reeves, DPT
• Senior Care Management
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• James Robert Snow, D.C.
• Laura Christine Tallent, LPTA
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• Todd Kislingbury DO PA
• William Ray Vannoy, LVN
• Emily Jean Wainscott

• Pediatric Endocrinology Physician in Whitesboro, TX
• Providers in Whitesboro, TX by specialty
• Pediatric Endocrinology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.