Victoria Kidney & Dialysis Associates
Internal Medicine, Nephrology in Victoria, TX. Organization (NPI-2).
NPI number1770545873
StatusActive
Last updated in NPPESMar 1, 2012
Details
- NPI
- 1770545873
- Entity type
- Organization (NPI-2)
- Legal business name
- Victoria Kidney & Dialysis Associates
- Organization subpart
- No
- Enumeration date
- Apr 4, 2006
- Last updated
- Mar 1, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | – | – | Yes |
Other names
- Lloyd Lane Gober, MD, P.A. (Former Legal Business Name)
Practice location
605 E San AntonioSuite 430e
Victoria, TX 77901
Phone 361-576-0011 · Fax 361-576-4084
Mailing address
605 E San AntonioSuite 430e
Victoria, TX 77901
Phone 361-576-0011 · Fax 361-576-4084
Authorized official
Susan Mahan
Medical Manager
3615760011
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