Organization
KIDNEY HOUSE PLLC
Active
Other names
The Kidney House
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK LOVE-JONES (CEO)
(817) 781-2250
Entity
Organization
Contact information
Practice address
1705 MARTIN LUTHER KING JR BLVD, SUITE C, DALLAS, TX 75215-3222
(214) 425-5935
(972) 919-0425
Mailing address
1914 SKILLMAN ST, SUITE 110-359, DALLAS, TX 75206-8559
(214) 425-5935
(972) 919-0425
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP125430
TX
Other
Enumeration date
04/29/2015
Last updated
08/29/2016
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