Organization
GREENVILLE NEPHROLOGY ASSOCIATES, PA
Active
Other names
Texas Renal Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALID MAHMOOD M.D. (PRESIDENT)
(972) 668-9713
Entity
Organization
Contact information
Practice address
4085 OHIO DR, SUITE 100, FRISCO, TX 75035-6240
(972) 668-9713
(214) 446-9460
Mailing address
4085 OHIO DR, SUITE 100, FRISCO, TX 75035-6240
(972) 668-9713
(214) 446-9460
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
M1218
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178616201
—
TX
Enumeration date
03/05/2008
Last updated
04/04/2012
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