Organization
NORTH TEXAS KIDNEY DISEASE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRENA MARTIN (PRACTICE MANAGER)
(214) 466-7230
Entity
Organization
Contact information
Practice address
1600 WATERS RIDGE DR STE A, LEWISVILLE, TX 75057-6039
(972) 219-0558
(214) 466-7237
Mailing address
1600 WATERS RIDGE DR STE A, LEWISVILLE, TX 75057-6039
(972) 219-0558
(214) 466-7237
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146883702
—
TX
Enumeration date
11/13/2006
Last updated
07/17/2024
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