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) 661-5622
Entity
Organization
Contact information
Practice address
205 W WINDCREST ST, SUITE 230, FREDERICKSBURG, TX 78624-4479
(830) 997-0296
(830) 997-0310
Mailing address
7142 SAN PEDRO AVE, SUITE 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
09/28/2010
Last updated
06/09/2015
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