Texoma Kidney Care, P.A. in Denison - Specialist
Texoma Kidney Care, P.A. - NPI 1306898374
Texoma Kidney Care, P.A. is a Specialist in Denison, Texas. Texoma Kidney Care, P.A. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Texoma Kidney Care, P.A. is 1306898374. The last update date is 2008-03-12.
Texoma Kidney Care, P.A.'s current location address is 201 Memorial Dr, Denison, Texas. You can contact this provider via phone number 9034635057 and fax number 9034637661. The mailing address for Texoma Kidney Care, P.A. is 201 Memorial Dr, Denison, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Texoma Kidney Care, P.A. |
|---|---|
| Address | 201 Memorial Dr, Denison, Texas |
| Phone Number | 9034635057 |
| Fax Number | 9034637661 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Willie Robert Glen |
| Credentials | M.D. |
| Telephone Number | 9034635057 |
NPI Number Detail
| NPI Number | 1306898374 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2008-03-12 |
Provider Mailing Address Detail
| Address | 201 Memorial Dr |
|---|---|
| City | Denison |
| State | Texas (TX) |
| Post Code | 750202026 |
| Phone Number | 9034635057 |
| Fax Number | 9034637661 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G0858 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DF3764 | OK | OK RAILROAD MEDICARE | |
| 0031EE | TX | BLUE CROSS/BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Texoma Kidney Care, P.A.?
The Texoma Kidney Care, P.A. has been issued the NPI (National Provider Identifier) 1306898374 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Texoma Kidney Care, P.A. is located?
The Texoma Kidney Care, P.A. is situated at the following address: 201 Memorial Dr, Denison, TX, 750202026.
What is the Texoma Kidney Care, P.A.'s specialty and taxonomy code?
The Texoma Kidney Care, P.A.'s specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Texoma Kidney Care, P.A. receive its 1306898374 assignment from the Centers for Medicare & Medicaid Services?
The Texoma Kidney Care, P.A. was assigned its 1306898374 by the Centers for Medicare & Medicaid Services on 2006-05-17.
When was the information pertaining to Texoma Kidney Care, P.A. most recently updated or revised?
The details related to Texoma Kidney Care, P.A., including its address, specialty, and other relevant information, were last updated or revised on 2008-03-12.
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