Organization · NPI-2

360 Kidney Care

Internal Medicine, Nephrology · Brownsville, TX

NPI number1104427970
StatusActive
Last updated in NPPESNov 6, 2020

Details

NPI
1104427970
Entity type
Organization (NPI-2)
Legal business name
360 Kidney Care
Organization subpart
No
Enumeration date
Nov 6, 2020
Certification date
Nov 6, 2020
Last updated
Nov 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RN0300X Internal Medicine, Nephrology––Yes

Practice location

4970 N Expressway Ste D
Brownsville, TX 78526-4269

Phone 956-897-0304 · Fax 888-313-1449

Mailing address

4970 N Expressway Ste D
Brownsville, TX 78526-4269

Phone 956-897-0304 · Fax 888-313-1449

Authorized official

Paul-Moreau Bossous
President
9568970304

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