MD TRUCARE PA – NPI #1043754526
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Health Care Provider Taxonomy Code for Internal Medicine

MD TRUCARE PA is a provider located in GRAPEVINE, TX. NPPES has assigned the NPI number 1043754526 to MD TRUCARE PA on December 19, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was previously updated about 4 years ago on Mar 04, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MD TRUCARE PA below.

NPI Profile for
MD TRUCARE PA

NPI Number
1043754526
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MD TRUCARE PA
Primary location
823 IRA E WOODS AVE STE 200
GRAPEVINE, TX 76051-4096
Phone: (817) 722-6078 Fax: (817) 722-6077
1 Other location(s):
10640 N Riverside Dr Ste 300
Fort Worth, TX 76244-9507
Phone: (817) 722-6078
Fax: (817) 722-6077
Mailing address
PO BOX 93685
SOUTHLAKE, TX 76092-0116
Phone: (218) 205-0198 Fax: (817) 722-6077
Organization Subpart
No
Authorized Official
AYESHA EBRAHIM
CEO
Phone: (218) 205-0198
Updated
Certification Date
Mar 04, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)
2084P0800X
- Psychiatry & Neurology / Psychiatry

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.