Organization
NORTH TEXAS KIDNEY CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR CHUKWUDI KALU M.D (MEDICAL DIRECTOR)
(214) 529-0255
Entity
Organization
Contact information
Practice address
2700 W PLEASANT RUN RD, SUITE 200, LANCASTER, TX 75146-1079
(972) 230-8881
(972) 230-8810
Mailing address
PO BOX 1157, COPPELL, TX 75019-1157
(214) 529-0255
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
J5226
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0077PN
BCBS
TX
05
—
189244001
—
TX
01
—
DO3893
MEDICARE RAILROAD
—
Enumeration date
07/22/2006
Last updated
04/01/2009
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