Organization
CENTRAL TEXAS NEPHROLOGY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY PRYOR (ADMINISTRATOR)
(254) 666-2999
Entity
Organization
Contact information
Practice address
5940 CROSSLAKE PKWY, WACO, TX 76712-6986
(254) 666-2999
(254) 666-6000
Mailing address
5940 CROSSLAKE PKWY, WACO, TX 76712-6986
(254) 666-2999
(254) 666-6000
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112864701
—
TX
Enumeration date
05/23/2006
Last updated
03/09/2015
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