SIGNATURE KIDNEY CARE - PLLC NPI 1306323761

NPI Information

SIGNATURE KIDNEY CARE - PLLC is a nephrology internal medicine in Irving, 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. SIGNATURE KIDNEY CARE - PLLC NPI is 1306323761. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3365 REGENT BLVD STE 110
IRVING, TX
ZIP 75063-125
Phone: (214) 716-7573
Fax: (888) 657-4737

The provider's authorized official is Hanan Fahmy .
The authorized official title is President and has the following contact phone number (217) 891-8056.

The CLIA number assigned to this NPI record is 45D2161602 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/27/2018 and was last updated on 7/27/2018.

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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