Organization
KIDNEY & HYPERTENSION GROUP OF LAREDO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE MCNUTT M.D. (PRESIDENT)
(956) 796-1390
Entity
Organization
Contact information
Practice address
1710 E SAUNDERS ST, STE B675, LAREDO, TX 78041
(956) 724-3108
(956) 796-9495
Mailing address
1710 E SAUNDERS ST, STE B675, LAREDO, TX 78041
(956) 724-3108
(956) 796-9495
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
Q7745
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518283688
NPI
TX
Enumeration date
05/17/2016
Last updated
06/15/2016
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