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TYLER NEPHROLOGY ASSOCIATES P.A. NPI 1942360326


NPI Information

NPI: 1942360326
Provider Name: TYLER NEPHROLOGY ASSOCIATES, P.A.

Doing Business As: THE CENTERS FOR KIDNEY CARE

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 45D1055519

Address:
1133 MEDICAL DR
TYLER, TX
ZIP 75701
Phone: (903) 595-5486
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TYLER NEPHROLOGY ASSOCIATES, P.A. is a nephrology internal medicine in Tyler, 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. TYLER NEPHROLOGY ASSOCIATES, P.A. NPI is 1942360326. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Centers For Kidney Care.

The provider's business location address is:

1133 MEDICAL DR
TYLER, TX
ZIP 75701-130
Phone: (903) 595-5486
Fax: (903) 595-5128

The provider's authorized official is Linda Miller .
The authorized official title is Administrator and has the following contact phone number (903) 595-5486.

The CLIA number assigned to this NPI record is 45D1055519 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 9/26/2018.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1094961203MEDICAIDTEXAS
2200214850 AMEDICAIDOKLAHOMA

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: 5/5/2024

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