Organization
CENTRAL TEXAS KIDNEY ASSOC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALAVIKA VINTA MD (PRACTITIONER)
(512) 451-5800
Entity
Organization
Contact information
Practice address
408 W.45TH ST, AUSTIN, TX 78751
(512) 451-5800
(512) 451-6341
Mailing address
408 W.45TH ST, AUSTIN, TX 78751
(512) 451-5800
(512) 451-6341
Taxonomy
Speciality
Code
Description
License number
State
246ZN0300X
Nephrology Specialist/Technologist
Primary
L9536
TX
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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