NORTH TEXAS KIDNEY DISEASE ASSOCIATES; NPI #1093182305

Contact Information

NORTH TEXAS KIDNEY DISEASE ASSOCIATES

2609 SCRIPTURE ST
DENTON, TX 76201

Phone: 940-320-1708
Fax: 940-565-5457
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Nephrology	207RN0300X	11	Physician/Internal Medicine

Indicates primary specialty

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NPI Profile & details for NORTH TEXAS KIDNEY DISEASE ASSOCIATES

NPI Number 1093182305

LBN Legal business name NORTH TEXAS KIDNEY DISEASE ASSOCIATES

Authorized official TAMMY VAUGHN - (CREDENTIALING COORDINATOR)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 08/24/2015

Last updated 07/11/2018 - About 8 years ago

Identifiers

Medicaid

146883702

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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