NPI Registry.org

Diabetes Plus Clinic

NPI Registration Record

Provider / OrganizationNPIDate Certified
DIABETES PLUS CLINIC15488236512020-07-26
Other Names:
Entity TypeOrganization
Provider OrganizationDIABETES PLUS CLINIC
Other Provider OrganizationENDOCRINE & DIABETES PLUS CLINIC OF
Practice Office Address5420 DASHWOOD DR STE 301
HOUSTON, TX US
Practice Office Telephone8329687003
Practice Office Fax8329687713
Mailing Address5420 DASHWOOD DR STE 301
HOUSTON, TX 770815360 US
Business Telephone8326373320
Authorized OfficialJONGOH KIM, PRINCIPAL PHYSI
8326373320
Offices / Locations
AddressCity / StatePhone / Fax
11811 North Fwy Ste 500 PMB403Houston, TX 770603287 8326373320
915 Gessner Rd Ste 170 Houston, TX 770242666 8329687003 / 8329687713
HPT Codes
CodeLicense NoState
207R00000X
207RE0101X PRIMARY
193200000X MULTGroup Code
193200000X MULTGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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