Organization
VALLEY KIDNEY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD HOSEIN KOTAKI MD (PRESIDENT)
(956) 583-0095
Entity
Organization
Contact information
Practice address
900 PLAZA DRIVE, STE #5, MISSION, TX 78572-6049
(956) 583-0095
(956) 583-2118
Mailing address
900 PLAZA DRIVE, STE #5, MISSION, TX 78572-6049
(956) 583-0095
(956) 583-2118
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
K0877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127635404
—
TX
Enumeration date
01/27/2009
Last updated
01/27/2009
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