Organization
VICTORIA KIDNEY & DIALYSIS ASSOCIATES
Active
Other names
Lloyd Lane Gober, MD, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MAHAN (MEDICAL MANAGER)
(361) 576-0011
Entity
Organization
Contact information
Practice address
605 E SAN ANTONIO, SUITE 430E, VICTORIA, TX 77901
(361) 576-0011
(361) 576-4084
Mailing address
605 E SAN ANTONIO, SUITE 430E, VICTORIA, TX 77901
(361) 576-0011
(361) 576-4084
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080560801
—
TX
05
—
080560802
—
TX
Enumeration date
04/04/2006
Last updated
03/01/2012
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