Organization
NORTH TEXAS KIDNEY DISEASE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRENA MARTIN (PRACTICE MANAGER)
(972) 219-0558
Entity
Organization
Contact information
Practice address
4491 LONG PRAIRIE RD STE 200, FLOWER MOUND, TX 75028-2012
(469) 645-0202
(972) 539-4851
Mailing address
1600 WATERS RIDGE DR STE A, LEWISVILLE, TX 75057-6039
(972) 219-0558
(214) 466-7237
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
07/17/2024
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