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KIDNEY AND BLOOD PRESSURE CLINIC NPI 1144224171


NPI Information

NPI: 1144224171
Provider Name: KIDNEY AND BLOOD PRESSURE CLINIC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
3939 MEDICAL DR
STE 110
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 692-1515
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KIDNEY AND BLOOD PRESSURE CLINIC is a nephrology internal medicine in San Antonio, TX. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. KIDNEY AND BLOOD PRESSURE CLINIC NPI is 1144224171. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3939 MEDICAL DR
STE 110
SAN ANTONIO, TX
ZIP 78229-292
Phone: (210) 692-1515
Fax: (210) 692-0187

The provider's authorized official is Jessica J Medola .
The authorized official title is Supervisor and has the following contact phone number (210) 692-1515.

The enumeration date for this NPI number is 6/8/2005 and was last updated on 3/26/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyF1406TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110072508MEDICARE PINTEXAS
200GT38MEDICARE ID-TYPE UNSPECIFIEDTEXAS
3C13784MEDICARE UPINTEXAS
40828279-01MEDICAIDTEXAS
500GT38OTHERTEXASBC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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