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RED RIVER NEPHROLOGY ASSOCIATES PA NPI 1689621237


NPI Information

NPI: 1689621237
Provider Name: RED RIVER NEPHROLOGY ASSOCIATES PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
321 N HIGHLAND AVE
SUITE 105
SHERMAN, TX
ZIP 75092
Phone: (903) 893-7170
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RED RIVER NEPHROLOGY ASSOCIATES PA is a specialist in Sherman, 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. RED RIVER NEPHROLOGY ASSOCIATES PA NPI is 1689621237. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

321 N HIGHLAND AVE
SUITE 105
SHERMAN, TX
ZIP 75092-378
Phone: (903) 893-7170
Fax: (903) 893-4372

The provider's authorized official is David Glenn Reynolds .
The authorized official title is President/provider and has the following contact phone number (903) 893-7170.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 8/15/2007.


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 MedicineNephrologyH6541TEXASNo
2174400000XSpecialistH6541TEXASYes

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
14333749OTHERAETNA
2DA1665MEDICARE ID-TYPE UNSPECIFIEDTEXASRAILROAD MEDICARE
31736996MEDICAIDLOUISIANA
400K55ROTHERTEXASBCBS OF TEXAS
500107VMEDICARE ID-TYPE UNSPECIFIEDTEXASTEXAS MEDICARE

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.