SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.


Address: 1003 Us Highway 90 W, Castroville, TX 78009-3854
Phone: 8305382030

SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. (NPI# 1346440609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346440609
Entity Type Organization
Organization Name SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.
Practice Address 1003 Us Highway 90 W
Castroville
TX 78009-3854
Mailing Address 7142 San Pedro Ave
Suite 120
San Antonio
TX 78216-6254
Practice Telephone 8305382030
Practice Fax Number 8305382021
Mailing Telephone 2106615622
Mailing Fax Number 2106613795
Enumeration Date 2007-07-24
Last Update Date 2007-07-24
Authorized Official Name MR. CLAY ROBY (DIRECTOR OF OPERATIONS)
Authorized Official Telephone 2106615622
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1992002547 San Antonio Kidney Disease Center Physicians Group, P.l.l.c. Nurse Practitioner 9846 Westover Hills Blvd, Suite 101, San Antonio, TX 78251-4125 2011-02-17
1114235934 San Antonio Kidney Disease Center Physicians Group, P.l.l.c. Nurse Practitioner 1320 W Oaklawn Rd, Suite H, Pleasanton, TX 78064-4315 2010-09-14
1174710040 San Antonio Kidney Disease Center Physicians Group, P.l.l.c. Nurse Practitioner 1410 E Walnut St, Seguin, TX 78155-5175 2007-09-25
1215057534 San Antonio Kidney Disease Center Physicians Group, P.l.l.c. Nurse Practitioner 7114 San Pedro Ave, San Antonio, TX 78216-6218 2007-03-30
1114045846 San Antonio Kidney Disease Center Physicians Group, P.l.l.c. Nurse Practitioner 32665 Hwy 281 N, Ste 206, Bulverde, TX 78163-3124 2007-03-27
1164540134 San Antonio Kidney Disease Center Physicians Group, P.l.l.c. Nurse Practitioner 222 Sidney Baker S, Suite 208, Kerrville, TX 78028-5994 2007-03-27
1356325922 San Antonio Kidney Disease Center Physicians Group, P.l.l.c. Nurse Practitioner 7142 San Pedro Ave, Ste 120, San Antonio, TX 78216-6256 2005-12-06
1417594995 San Antonio Kidney Disease Center Physicians Group, P.l.l.c. Clinic/Center 7114 San Pedro Ave, San Antonio, TX 78216-6218 2019-12-04
1013336791 San Antonio Kidney Disease Center Physicians Group, P.l.l.c. Internal Medicine 215 E Quincy St, Suite 420, San Antonio, TX 78215-2034 2014-04-10
1467707240 San Antonio Kidney Disease Center Physicians Group, P.l.l.c. Nurse Practitioner 2902 Goliad Rd, Suite 103, San Antonio, TX 78223-3971 2012-07-18

Office Location

Street Address 1003 US HIGHWAY 90 W
City CASTROVILLE
State TX
Zip Code 78009-3854

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447205083 Sakdc Davita Dialysis Partners Lp Clinic/Center 1003 Us Highway 90 W, Castroville, TX 78009-3854 2006-05-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447807615 Rise Up Rehab, LLC Clinic/Center 1687 Old Hwy 90, Castroville, TX 78009 2019-08-22
1487156287 Castroville Dental Pllc Dentist 703 Old Us Hwy 90 E, Suite 108, Castroville, TX 78009 2018-03-07
1033636337 Karen Mccauley Nurse Practitioner 1501 Houston St Ste B, Castroville, TX 78009 2017-08-28
1891217832 Adrienne Irene Villarreal Nurse Practitioner 1051 Old Us Hwy 90 East, Castroville, TX 78009 2017-07-12
1912445487 Wal-mart Stores Texas, LLC Technician/Technologist 1151 Us Hwy 90 E, Castroville, TX 78009 2017-02-06
1952719023 Rodolfo Yanez Pharmacist 1151 Us Highway 90 E, Castroville, TX 78009 2014-08-01
1700140969 Christodoulos S Christodoulou Allergy & Immunology 1050 Highway 16 S., Bandera, TX 78009 2012-07-02
1366672818 Aria Dayani Internal Medicine 1051 Highway 90 East, Castroville, TX 78009 2009-07-18
1932374576 Cindy Marie Crews Dentist 1314 Constantinople Street, Castroville, TX 78009 2008-04-24
1497803183 Frank Raymond Danna II Dentist 411 Madrid, Castroville, TX 78009 2007-01-08
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy 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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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NPI Name Taxonomy Address Enumeration
1982203659 Nephrology and Hypertension Specialists Pa Internal Medicine 4102 Woodlawn Ave Ste 220, Pasadena, TX 77504-1949 2020-10-22
1437781960 Haus Medical Group Pllc Internal Medicine 1315 St Joseph Pkwy Ste 1704, Houston, TX 77002-8238 2020-02-12
1962040949 Ngoc-han Thi Tran Internal Medicine 3295 S Cooper St Ste 119, Arlington, TX 76015-2359 2019-12-20
1659916617 Heartland Physicians Associates Nephrology Pllc Internal Medicine 150 Pine Forest Dr Ste 501, Shenandoah, TX 77384-5304 2019-11-14
1578106894 Cardiorenal Therapeutics of North Texas Pllc Internal Medicine 300 N Highland Ave Ste 365, Sherman, TX 75092-7393 2019-10-18
1639711534 Immaculate Vascular Access Center Pllc Internal Medicine 349 S Helen Moore Rd Apt 6205, San Benito, TX 78586-9091 2019-10-11
1376193433 Ntkc - Dfw, Pllc Internal Medicine 10700 Victoria Ash Dr., Keller, TX 76244 2019-09-19
1841849098 Austin Kidney Care LLC Internal Medicine 2005 Palo Duro Rd, Austin, TX 78757-3242 2019-09-10
1467000828 Ntkc-dfw, Pllc Internal Medicine 2220 Bryan Pl Ste 104, Midlothian, TX 76065-7127 2019-08-29
1306407697 H&n Medical Investment, LLC Internal Medicine 4201 Medical Center Dr. Ste 240, Mckinney, TX 75069-1774 2019-06-26
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Competitor

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City CASTROVILLE
Zip Code 78009

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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