Diabetes Center of the Southwest, PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DIABETES CENTER OF THE SOUTHWEST, PA

Practice address

10 Desta Dr
Suite 190
Midland, TX 79705-4515

Phone

(432) 686-0000

Fax

(432) 682-0322

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. G M Gollapudi, M.D.

Title

President

Phone

(432) 686-0000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407998032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DESTA DR",
            "address_2": "SUITE 190",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797054515",
            "telephone_number": "432-686-0000",
            "fax_number": "432-682-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DESTA DR",
            "address_2": "SUITE 190",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797054515",
            "telephone_number": "432-686-0000",
            "fax_number": "432-682-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES CENTER OF THE SOUTHWEST, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLLAPUDI",
        "authorized_official_first_name": "G",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-686-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M Deshan, M.D.
• Deepika Devalla, M.D.
• Erin Dewey
• Ashley Nicole Dey, PA-S
• Rajitha Dhanekula
• Diagnostic Imaging Associates
• Jessica Itzel Diaz, RN
• Dick Weatherly Crna PC
• Jessie James Dickens, MD
• Natalie Dickey, PA-S

• Specialist in Midland, TX
• Providers in Midland, TX by specialty
• Specialist 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.