# KIDNEY HOUSE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Kidney House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558748459
- **Authorized official:** DERRICK LOVE-JONES (CEO)
- **Authorized official phone:** (817) 781-2250

## Contact information

- **Practice address:** 1705 MARTIN LUTHER KING JR BLVD, SUITE C, DALLAS, TX 75215-3222
- **Practice address phone:** (214) 425-5935
- **Practice address fax:** (972) 919-0425
- **Mailing address:** 1914 SKILLMAN ST, SUITE 110-359, DALLAS, TX 75206-8559
- **Mailing address phone:** (214) 425-5935
- **Mailing address fax:** (972) 919-0425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | AP125430 | TX | Yes |

## Other

- **Enumeration date:** 04/29/2015
- **Last updated:** 08/29/2016