East Texas Kidney Specialists,Pa in Longview - Nephrology
East Texas Kidney Specialists,Pa - NPI 1184689622
East Texas Kidney Specialists,Pa is a Nephrology in Longview, Texas. East Texas Kidney Specialists,Pa practices all healthcare services and medical treatments related to Nephrology. The NPI Number for East Texas Kidney Specialists,Pa is 1184689622. The last update date is 2021-10-06.
East Texas Kidney Specialists,Pa's current location address is 3535 N Fourth St Ste 301, Longview, Texas. You can contact this provider via phone number 9032349992 and fax number 9032348287. The mailing address for East Texas Kidney Specialists,Pa is 3535 N Fourth St Ste 301, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Texas Kidney Specialists,Pa |
|---|---|
| Address | 3535 N Fourth St Ste 301, Longview, Texas |
| Phone Number | 9032349992 |
| Fax Number | 9032348287 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE A |
|---|---|
| Authorized Official Name | Hagood Tiffany |
| Telephone Number | 9032349992 |
NPI Number Detail
| NPI Number | 1184689622 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2021-10-06 |
Provider Mailing Address Detail
| Address | 3535 N Fourth St Ste 301 |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756050037 |
| Phone Number | 9032349992 |
| Fax Number | 9032348287 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
|
Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0035GN | TX | BLUE CROSS & BLUE SHIELD |
Post Comment/ Review Below
What is the East Texas Kidney Specialists,Pa's 1184689622?
The East Texas Kidney Specialists,Pa's NPI (National Provider Identifier) Number is 1184689622. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where East Texas Kidney Specialists,Pa is located?
The East Texas Kidney Specialists,Pa is situated at the following address: 3535 N Fourth St Ste 301, Longview, TX, 756050037.
What is East Texas Kidney Specialists,Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for East Texas Kidney Specialists,Pa is Nephrology, and the corresponding taxonomy classification code for this specialized field is 207Rn0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184689622 to East Texas Kidney Specialists,Pa?
The Centers for Medicare & Medicaid Services originally issued the 1184689622 to East Texas Kidney Specialists,Pa on 2006-04-18.
As of what date were the East Texas Kidney Specialists,Pa's details last updated?
The information pertaining to the East Texas Kidney Specialists,Pa, including its address, specialty, and other details, was most recently updated on 2021-10-06.