Organization
SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAY ROBY (EXECUTIVE DIRECTOR)
(210) 481-7453
Entity
Organization
Contact information
Practice address
6700 RANDOLPH BLVD, SUITE 102, LIVE OAK, TX 78233-4222
(210) 654-7326
(210) 646-0042
Mailing address
7142 SAN PEDRO AVE, STE 120, SAN ANTONIO, TX 78216-6256
(210) 481-7453
(210) 481-7463
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/27/2007
Last updated
04/10/2014
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