KIDNEY DISEASE ASSOCIATES NPI 1134115124

NPI Information

KIDNEY DISEASE ASSOCIATES is a specialist in Lubbock, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KIDNEY DISEASE ASSOCIATES NPI is 1134115124. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5424 19TH ST # 403
LUBBOCK, TX
ZIP 79407-162
Phone: (806) 368-8782
Fax: (806) 368-8361

The provider's authorized official is Ruben Dario Villa .
The authorized official title is Md and has the following contact phone number (806) 368-6391.

The CLIA number assigned to this NPI record is 45D0682039 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/23/2005 and was last updated on 12/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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