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Organization

AMARILLO KIDNEY SPECIALISTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGES MALIHA MD (CHIEF EXECUTIVE OFFICER)
(806) 358-0051
Entity
Organization

Contact information

Practice address
8604 S COULTER ST, AMARILLO, TX 79119-7379
(806) 358-0051
(806) 355-0410
Mailing address
8604 S COULTER ST, AMARILLO, TX 79119-7379
(806) 358-0051
(806) 355-0410

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
007962
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
160987701
TX
05
160987702
TX
Enumeration date
09/01/2006
Last updated
10/20/2010
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