DIABETES AND GLANDULAR DISEASE CLINIC CERTIFIED DIABETES EDUCATION CEN
NPI 1629391842
Clinic/Center - Medical Specialty in San Antonio, TX

Q: What is Diabetes And Glandular Disease Clinic Certified Diabetes Education Cen's specialty?

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

Active since March 02, 2010

5107 MEDICAL DR, SAN ANTONIO, TX 78229(210) 614-8612(210) 615-1666 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 24, 2023, Jun 9, 2022, Aug 7, 2020 (3 updates tracked since 2020).

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About Diabetes And Glandular Disease Clinic Certified Diabetes Education Cen NPPES

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

DIABETES AND GLANDULAR DISEASE CLINIC CERTIFIED DIABETES EDUCATION CEN (NPI 1629391842) is a healthcare organization registered as a medical specialty in San Antonio, Texas and active in the NPI registry since March 2010. The organization lists Joseph Bagwell, Director Of Clinic Operations, as its authorized official.

NPPES Registry Identity

NPI1629391842

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameDIABETES AND GLANDULAR DISEASE CLINIC CERTIFIED DIABETES EDUCATION CEN

Location Address5107 MEDICAL DRSan Antonio, TX 78229-4801

Mailing Address5107 Medical DrSan Antonio, TX 78229-4801 · (210) 614-8612 · Fax (210) 615-1666

Phone(210) 614-8612

Fax(210) 615-1666

Organization SubpartNo

Authorized OfficialJoseph BagwellDirector Of Clinic Operations · (210) 615-5541

Enumeration DateMarch 2, 2010

Last NPPES UpdateAugust 24, 20233 updates tracked since enumeration

NPPES CertifiedAugust 24, 2023

✔ NPI 1629391842 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).

5107 MEDICAL DR, San Antonio, TX 78229

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Other Identifiers 1

Medicaid121762202TX

Other Providers at the Same Location NPPES 20

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

CARLEE D DUNLAP ANP

Registered Nurse