Organization
NEPHROLOGY DIALYSIS AND TRANSPLANTATION ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE M NASSAR MD (PRESIDENT)
(713) 790-9080
Entity
Organization
Contact information
Practice address
6560 FANNIN ST STE 1824, HOUSTON, TX 77030-2735
(713) 790-9080
(713) 335-4281
Mailing address
6560 FANNIN ST STE 1824, HOUSTON, TX 77030-2735
(713) 790-9080
(713) 335-4281
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
C8459
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00875N
BLUE CROSS BLUE SHIELD
TX
05
—
081304001
—
TX
01
—
CH4817
MEDICARE RAILROAD
TX
Enumeration date
05/24/2006
Last updated
11/22/2022
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