Organization
COASTAL NEPHROLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOUBHI ALTAKI MD (PROVIDER)
(512) 639-7927
Entity
Organization
Contact information
Practice address
7676 PHOENIX DR APT 1611, HOUSTON, TX 77030-4726
(512) 639-7927
Mailing address
7676 PHOENIX DR APT 1611, HOUSTON, TX 77030-4726
(512) 639-7927
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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