Organization
COASTAL-KIDNEY TREATMENT CENTERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUPERT PATEL M.D. (OFFICER)
(281) 558-6555
Entity
Organization
Contact information
Practice address
16659 SOUTHWEST FWY, # 561, SUGAR LAND, TX 77479-2375
(281) 558-6555
(281) 558-6133
Mailing address
12121 RICHMOND AVE, # 214, HOUSTON, TX 77082-2432
(281) 558-6555
(281) 558-6133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
TX
207RN0300X
Nephrology Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053SD
BCBSTX GROUP #
TX
Enumeration date
05/29/2009
Last updated
08/26/2009
Update your record
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