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Organization

NORTH TEXAS KIDNEY DISEASE ASSOCIATES

Active
Parent organization
NORTH TEXAS KIDNEY DISEASE ASSOCIATES
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTH TEXAS KIDNEY DISEASE ASSOCIATES
Authorized official
SIRENA MARTIN (PRACTICE MANAGER)
(214) 466-7230
Entity
Organization

Contact information

Practice address
4333 N JOSEY LN STE 103, CARROLLTON, TX 75010-4620
(972) 219-0558
(972) 436-9273
Mailing address
1600 WATERS RIDGE DR STE A, LEWISVILLE, TX 75057-6039
(972) 219-0558
(214) 466-7237

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
146883702
TX
Enumeration date
05/10/2016
Last updated
07/17/2024
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