Organization
KIDNEY CARE CLINIC OF CORPUS CHRISTI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAH F ISLAM MD (PRESIDENT)
(361) 877-9783
Entity
Organization
Contact information
Practice address
600 ELIZABETH ST, SPOHN SHORELINE HOSPITAL, MEDICAL STAFF OFFICE, CORPUS CHRISTI, TX 78404-2235
(361) 877-9783
Mailing address
7718 MARISSA DR, CORPUS CHRISTI, TX 78414-6147
(361) 877-9783
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
K8227
TX
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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