PREMIER DIABETES ENDOCRINOLOGY, PA
NPI 1275698532
Clinic/Center - Medical Specialty in Carrollton, TX

Active since December 27, 2006
4100 FAIRWAY DR STE 620, CARROLLTON, TX 75010(972) 492-9901(972) 492-9902 Get Directions Write a Review

NPPES record last updated: April 8, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Premier Diabetes Endocrinology, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER DIABETES ENDOCRINOLOGY, PA (NPI 1275698532) is a healthcare organization registered as a medical specialty in Carrollton, Texas and active in the NPI registry since December 2006. The organization lists Ted Obialo, Manager, as its authorized official.

NPPES Registry Identity

NPI1275698532
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NamePREMIER DIABETES ENDOCRINOLOGY, PA
Location Address4100 FAIRWAY DR STE 620Carrollton, TX 75010-6539
Mailing AddressPo Box 378Coppell, TX 75019-0378 · (972) 492-9901 · Fax (972) 492-9902
Fax(972) 492-9902
Organization SubpartNo
Authorized OfficialTed ObialoManager · (972) 492-9901
Enumeration DateDecember 27, 2006
Last NPPES UpdateApril 8, 2011
NPI 1275698532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

4100 FAIRWAY DR STE 620, Carrollton, TX 75010

Other Identifiers 3

Other0011LMTX · Bcbs
Medicaid167630601TX
Medicare PIN00122XTX

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4100 FAIRWAY DR STE 620
CARROLLTON, TX 75010
Internal Medicine
4100 FAIRWAY DR STE 620
CARROLLTON, TX 75010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Diabetes Endocrinology, PA's NPI number?

The NPI number for Premier Diabetes Endocrinology, PA is 1275698532. It was assigned to this organization in the NPPES registry on December 27, 2006.

Where is Premier Diabetes Endocrinology, PA located?

Premier Diabetes Endocrinology, PA is located at 4100 Fairway Dr Ste 620, Carrollton, TX 75010. The listed phone number is (972) 492-9901.

What is Premier Diabetes Endocrinology, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Premier Diabetes Endocrinology, PA was last updated on April 8, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.