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Organization

COASTAL-KIDNEY TREATMENT CENTERS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUPERT PATEL M.D. (OFFICER)
(281) 558-6555
Entity
Organization

Contact information

Practice address
12121 RICHMOND AVE, #214, HOUSTON, TX 77082-2432
(281) 558-6555
(281) 558-6133
Mailing address
PO BOX 2588, STAFFORD, TX 77497-2588
(281) 558-6555
(281) 558-6133

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TX
207RN0300X
Nephrology Physician
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0053SD
BCBSTX GROUP #
TX
05
202933201
TX
Enumeration date
01/23/2009
Last updated
02/22/2010
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