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SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP P.L.L.C. NPI 1144348210


NPI Information

NPI: 1144348210
Provider Name: SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 45D2118689

Address:
4242 E SOUTHCROSS BLVD
STE 4
SAN ANTONIO, TX
ZIP 78222
Phone: (210) 337-4911
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SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. 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. SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. NPI is 1144348210. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4242 E SOUTHCROSS BLVD
STE 4
SAN ANTONIO, TX
ZIP 78222-751
Phone: (210) 337-4911
Fax: (210) 337-7749

The provider's authorized official is Clay Roby .
The authorized official title is Executive Director and has the following contact phone number (210) 481-7453.

The CLIA number assigned to this NPI record is 45D2118689 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 9/16/2010.


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
1363LF0000XNurse PractitionerFamilyNo
2207RN0300XInternal MedicineNephrologyYes

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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