Provider Demographics
NPI:1306890736
Name:ENDOCRINE ASSOCIATES OF DALLAS, P.A.
Entity type:Organization
Organization Name:ENDOCRINE ASSOCIATES OF DALLAS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:SACHSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-363-5535
Mailing Address - Street 1:PO BOX 678118
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-8118
Mailing Address - Country:US
Mailing Address - Phone:214-363-5535
Mailing Address - Fax:214-368-2760
Practice Address - Street 1:10260 N CENTRAL EXPY
Practice Address - Street 2:SUITE 100N
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3437
Practice Address - Country:US
Practice Address - Phone:214-363-5535
Practice Address - Fax:214-368-2760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXZ000K5876Medicaid
TX00K587Medicare PIN