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PRE DIABETES PHYSICIAN SERVICES INC
NPI 1639581077
Specialist in Fort Worth, TX

Active since May 20, 2014
1307 8TH AVE STE 502, FORT WORTH, TX 76104(512) 623-4900 Get Directions Write a Review

NPPES record last updated: May 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pre Diabetes Physician Services Inc NPPES

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

PRE DIABETES PHYSICIAN SERVICES INC (NPI 1639581077) is a healthcare organization registered as a specialist in Fort Worth, Texas and active in the NPI registry since May 2014. The organization lists Randy Marfin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639581077
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePRE DIABETES PHYSICIAN SERVICES INC
Location Address1307 8TH AVE STE 502Fort Worth, TX 76104-4137
Mailing Address3721 Executive Center DrAustin, TX 78731-1645 · (512) 623-4900
Phone(512) 623-4900
Organization SubpartNo
Authorized OfficialRandy MarfinCeo · (512) 623-4919
Enumeration DateMay 20, 2014
✔ NPI 1639581077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · L4258
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1307 8TH AVE STE 502, Fort Worth, TX 76104
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

CHARLES E. EWOH M.D.
Internal Medicine
1307 8TH AVE STE 502
FORT WORTH, TX 76104
Tarrant County (817) 335-8478

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 Pre Diabetes Physician Services Inc's NPI number?

The NPI number for Pre Diabetes Physician Services Inc is 1639581077. It was assigned to this organization in the NPPES registry on May 20, 2014.

Where is Pre Diabetes Physician Services Inc located?

Pre Diabetes Physician Services Inc is located at 1307 8th Ave Ste 502, Fort Worth, TX 76104. The listed phone number is (512) 623-4900.

What is Pre Diabetes Physician Services Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Pre Diabetes Physician Services Inc was last updated on May 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.