Organization
SPACE CITY ASSOCIATES OF NEPHROLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHENDRA AGRAHARKAR M.D. (MEDICAL DIRECTOR)
(832) 905-6141
Entity
Organization
Contact information
Practice address
560 BLOSSOM ST STE C, WEBSTER, TX 77598-4237
(832) 905-6141
(832) 200-3259
Mailing address
2301 CARINA CT, LEAGUE CITY, TX 77573-2879
(281) 554-5445
(281) 554-5445
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193620501
—
TX
Enumeration date
04/11/2007
Last updated
02/05/2025
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