Organization
KIDNEY SPECIALISTS OF SOUTH TEXAS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAH F ISLAM M.D. (PRESIDENT)
(361) 887-8451
Entity
Organization
Contact information
Practice address
1521 S STAPLES ST, STE 601, CORPUS CHRISTI, TX 78404-3154
(361) 887-8451
(361) 887-6126
Mailing address
850 W RIO SALADO PKWY STE 201, TEMPE, AZ 85281-3812
(361) 887-8451
(361) 887-6126
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109425201
—
TX
Enumeration date
05/31/2005
Last updated
12/18/2023
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