SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP P.L.L.C. NPI 1164540134

NPI Information

SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. is a nephrology internal medicine in Kerrville, 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 1164540134. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

222 SIDNEY BAKER S
SUITE 208
KERRVILLE, TX
ZIP 78028-994
Phone: (830) 896-7607
Fax: (830) 896-8482

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 45D0499055 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/27/2007 and was last updated on 4/10/2014.

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:

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