Organization
HEALING KIDNEYS INSTITUTE OF HOUSTON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADHAVILATHA VUPPALI MD (PRESIDENT)
(832) 610-2822
Entity
Organization
Contact information
Practice address
200 S RIVERSHIRE DR STE 300, CONROE, TX 77304-3485
(832) 610-2822
(936) 777-8831
Mailing address
200 S RIVERSHIRE DR STE 300, CONROE, TX 77304-3485
(832) 610-2822
(936) 777-8831
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209330403
—
TX
Enumeration date
05/08/2015
Last updated
07/11/2022
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