Organization
NORTH TEXAS KIDNEY DISEASE ASSOCIATES
Active
Parent organization
NORTH TEXAS KIDNEY DISEASE ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH TEXAS KIDNEY DISEASE ASSOCIATES
Authorized official
TAMMY VAUGHN (CREDENTIALING COORDINATOR)
(940) 320-1708
Entity
Organization
Contact information
Practice address
4240 INTERNATIONAL PKWY, STE. 154, CARROLLTON, TX 75007
(469) 574-0464
(469) 574-0471
Mailing address
3315 COLORADO BLVD STE 102, DENTON, TX 76210-6885
(940) 320-1708
(940) 565-5457
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146883702
—
TX
Enumeration date
03/19/2007
Last updated
07/12/2018
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