Organization
KIDNEY AND PRIMARY CARE OF TEXAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRINATH TAMIRISA MD (OWNER)
(916) 947-6491
Entity
Organization
Contact information
Practice address
3939 MEDICAL DR STE 110, SAN ANTONIO, TX 78229-2292
(210) 858-7604
(210) 888-0383
Mailing address
3939 MEDICAL DR STE 110, SAN ANTONIO, TX 78229-2292
(210) 858-7604
(210) 888-0383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
10/02/2023
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