Organization
COASTAL-KIDNEY TREATMENT CENTERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUPERT PATEL MD (OFFICER)
(281) 558-6555
Entity
Organization
Contact information
Practice address
1400 CREEKWAY DRIVE, SUGAR LAND, TX 77478
(281) 558-6555
(281) 558-6133
Mailing address
12121 RICHMOND AVE, # 214, HOUSTON, TX 77082-2432
(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
—
207381901
—
TX
Enumeration date
06/01/2009
Last updated
02/22/2010
Update your record
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