SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP P.L.L.C. NPI 1700904612

NPI Information

SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. is a nephrology internal medicine in Live Oak, 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 1700904612. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6700 RANDOLPH BLVD
SUITE 102
LIVE OAK, TX
ZIP 78233-222
Phone: (210) 654-7326
Fax: (210) 646-0042

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 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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