Organization
NEPHROLOGY LEADERS AND ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED ATIQ DATA MD (OWNER)
(979) 245-2421
Entity
Organization
Contact information
Practice address
200 MEDICAL CENTER CT STE 100, BAY CITY, TX 77414-4733
(979) 245-2421
(979) 245-6263
Mailing address
PO BOX 2660, BAY CITY, TX 77404-2660
(979) 245-2421
(979) 245-6263
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080RL
BCBS OF TX
TX
05
—
197861102
—
TX
Enumeration date
05/21/2008
Last updated
05/20/2022
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