Organization
KIDNEY DISEASE AND DIALYSIS ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WASEY JABBAR M.D. (MANAGER)
(903) 784-4487
Entity
Organization
Contact information
Practice address
870 NE LOOP 286, PARIS, TX 75460-2134
(903) 784-4487
(903) 784-4497
Mailing address
PO BOX 1810, PARIS, TX 75461-1810
(903) 784-4487
(903) 784-4497
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
M5243
TX
207RN0300X
Nephrology Physician
Primary
M8731
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307174801
—
TX
Enumeration date
04/02/2012
Last updated
10/06/2014
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