Organization
BASIN KIDNEY CARE SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHY NTENDE (TREASURER)
(432) 312-6065
Entity
Organization
Contact information
Practice address
8050 E HWY 191 STE 202, ODESSA, TX 79765-8613
(432) 312-6065
Mailing address
8050 E HWY 191 STE 202, ODESSA, TX 79765-8613
(432) 312-6065
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
10/21/2011
Last updated
03/16/2012
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