Organization
TEXAS KIDNEY ASSOCIATES MD PA
Active
Other names
TEKA
Organization subpart
No
Provider details
NPI number
Authorized official
AJITH KURIAKOSE (PRESIDENT)
(936) 225-4222
Entity
Organization
Contact information
Practice address
100 MEDICAL CENTER BLVD STE 116, CONROE, TX 77304-2821
(936) 666-1110
(936) 539-3334
Mailing address
100 MEDICAL CENTER BLVD, CONROE, TX 77304-2888
(936) 666-1110
(936) 539-3334
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
02/25/2011
Last updated
10/13/2011
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