THE KIDNEY CLINIC LLC NPI 1760665129

NPI Information

THE KIDNEY CLINIC LLC is a health service clinic center in Lake Charles, LA. THE KIDNEY CLINIC LLC NPI is 1760665129. The provider is registered as an organization entity type.

The provider's business location address is:

333 DR MICHAEL DEBAKEY DR
SUITE 140
LAKE CHARLES, LA
ZIP 70601-887
Phone: (337) 494-7090
Fax: (337) 494-7040

The provider's authorized official is Abdel Farid Abu Shamat .
The authorized official title is Member/president and has the following contact phone number (337) 494-7090.

The enumeration date for this NPI number is 12/7/2007 and was last updated on 12/7/2009.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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