Organization
BASIN KIDNEY CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJ RAGHUNATH HALKER M.D. (PRESIDENT)
(432) 332-8855
Entity
Organization
Contact information
Practice address
850 TOWER DR, SUITE 108, ODESSA, TX 79761-4238
(432) 332-8855
Mailing address
850 TOWER DR, SUITE 108, ODESSA, TX 79761-4252
(432) 332-8855
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
M6169
TX
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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