Kidney Care Institute PLLC
Internal Medicine, Nephrology in Conroe, TX. Organization (NPI-2).
NPI number1164098778
StatusActive
Last updated in NPPESJun 3, 2021
Details
- NPI
- 1164098778
- Entity type
- Organization (NPI-2)
- Legal business name
- Kidney Care Institute PLLC
- Organization subpart
- No
- Enumeration date
- Jun 3, 2021
- Certification date
- May 3, 2021
- Last updated
- Jun 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | – | – | Yes |
Other names
- Kidney Care Institute PLLC (Doing Business As)
Practice location
2400 Farm To Market Rd 1488 #400Conroe, TX 77384
Phone 281-206-7880
Mailing address
7 Archer Oak PlSpring, TX 77382-2583
Phone 347-920-9281
Other practice locations
25312 Interstate 45 N
Spring, TX 77386-1449
Spring, TX 77386-1449
Phone 832-410-8389 · Fax 832-410-4925
2400 Fm 1488 Rd Ste 400
Conroe, TX 77384-4958
Conroe, TX 77384-4958
Phone 832-410-8389 · Fax 832-410-4925
Authorized official
Sunitha Mogalla
Supervisor
3479209281
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