Organization
COMPREHENSIVE KIDNEY INSTITUTE OF WEST TEXAS
Active
Other names
Complete Kidney Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD OSCAR GIBBONS M.D., M.B.A (PRESIDENT)
(432) 558-0497
Entity
Organization
Contact information
Practice address
318 N ALLEGHANEY AVE, SUITE 200, ODESSA, TX 79761-5052
(432) 558-0497
(432) 558-0498
Mailing address
3323 N MIDLAND DR, SUITE 113-106, MIDLAND, TX 79707-4608
(432) 558-0497
(432) 558-0498
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N0787
TX
207RN0300X
Nephrology Physician
Primary
N0787
TX
Other
Enumeration date
03/17/2012
Last updated
07/03/2012
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