# CENTRAL TEXAS KIDNEY ASSOC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134262074
- **Authorized official:** DR. MALAVIKA VINTA MD (PRACTITIONER)
- **Authorized official phone:** (512) 451-5800

## Contact information

- **Practice address:** 408 W.45TH ST, AUSTIN, TX 78751
- **Practice address phone:** (512) 451-5800
- **Practice address fax:** (512) 451-6341
- **Mailing address:** 408 W.45TH ST, AUSTIN, TX 78751
- **Mailing address phone:** (512) 451-5800
- **Mailing address fax:** (512) 451-6341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246ZN0300X | Nephrology Specialist/Technologist | L9536 | TX | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 08/22/2020