North Texas Kidney Disease Associates
Internal Medicine, Nephrology in Carrollton, TX. Organization (NPI-2).
NPI number1154777068
StatusActive
Last updated in NPPESJul 17, 2024
Details
- NPI
- 1154777068
- Entity type
- Organization (NPI-2)
- Legal business name
- North Texas Kidney Disease Associates
- Organization subpart
- Yes
- Enumeration date
- May 10, 2016
- Certification date
- Jul 17, 2024
- Last updated
- Jul 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | – | – | Yes |
Practice location
4333 N Josey Ln Ste 103Carrollton, TX 75010-4620
Phone 972-219-0558 · Fax 972-436-9273
Mailing address
1600 Waters Ridge Dr Ste ALewisville, TX 75057-6039
Phone 972-219-0558 · Fax 214-466-7237
Authorized official
Sirena Martin
Practice Manager
2144667230
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