VICTORY KIDNEY CLINIC P.A. (NPI# 1598172223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598172223 |
| Entity Type | Organization |
| Organization Name | VICTORY KIDNEY CLINIC P.A. |
| Other Organization Name | VICTORY KIDNEY CLINIC P.A. |
| Practice Address |
902 Houston St Laredo TX 78040-8015 |
| Practice Telephone | 9567961390 |
| Practice Fax Number | 9567969495 |
| Mailing Telephone | 9567961390 |
| Mailing Fax Number | 9567969495 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |
| Authorized Official Name | BICHENG NAN (PRESIDENT) |
| Authorized Official Telephone | 9567961390 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
N1011 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| VICTORY KIDNEY CLINIC P.A. | Doing Business As Name - Organization |
| Street Address |
902 HOUSTON ST |
| City | LAREDO |
| State | TX |
| Zip Code | 78040-8015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700211083 | Renal Treatment Centers-southeast, Lp | Clinic/Center | 902 Houston St, Laredo, TX 78040-8015 | 2013-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407335755 | Viviana Rodriguez | Specialist/Technologist | 1020 Corpus Christi St., Laredo, TX 78040 | 2018-08-08 |
| 1518451749 | United Med Care Ambulance | Ambulance | 1110 Davis Ave, Laredo, TX 78040 | 2018-06-20 |
| 1962910117 | Tomas Cantu | Home Health | 1502 Hidalgo St, Laredo, TX 78040 | 2018-01-22 |
| 1457860447 | Francisco J Martinez | Massage Therapist | 3116 San Bernardo Ave #a, Laredo, TX 78040 | 2017-09-22 |
| 1760810634 | Melissa Garcia | Nurse Practitioner | 1220 San Agustin Ave, Laredo, TX 78040 | 2013-10-31 |
| 1093956831 | Black Casino LLC | Clinic/Center | 302 Washington St Suite B, Laredo, TX 78040 | 2009-03-06 |
| 1851504252 | La Luz Adult Day Care L.L.C. | Nursing Facility/Intermediate Care Facility | 2349 E Saunders, Laredo, TX 78040 | 2007-05-08 |
| 1346373602 | Lorena Elizabeth Tidwell | Specialist/Technologist | West End Washinton, Laredo Community College - Athletic Department, Laredo, TX 78040 | 2007-03-14 |
| 1578609319 | Iliana Medina Chandarlis | Physical Therapist | 1501 Chihuahua Drive Suite #2, Laredo, TX 78040 | 2007-01-29 |
| 1972669919 | Sunny Wong | Internal Medicine | Mcpherson Medical Center, 6801 Mcpherson Road Suite 337, Laredo, TX 78040 | 2006-12-27 |
| Find all providers in zip 78040 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447627591 | Julio P Zavala Medical Services Pllc | Internal Medicine | 104 Queen Palm Dr, Laredo, TX 78045-5014 | 2015-08-25 |
| 1376700161 | Chalit Wanthakawikran | Internal Medicine | 2325 E Saunders St, Laredo, TX 78041-5434 | 2008-05-20 |
| 1083611974 | Shafiq Ur- Rehman Cheema | Internal Medicine | 2309 E Saunders St, Suite 100, Laredo, TX 78041-5434 | 2005-07-07 |
| 1194172403 | Kidney & Hypertension Group of Laredo Pllc | Internal Medicine | 1710 E Saunders St, Ste B675, Laredo, TX 78041 | 2016-05-17 |
| 1295075927 | Laredo Nephrologists Pllc | Internal Medicine | 2325 E Saunders St, Laredo, TX 78041-6334 | 2013-02-16 |
| 1487902946 | Laredo Renal Care, Pllc | Internal Medicine | 1710 E Saunders St Ste B675, Laredo, TX 78041-5456 | 2012-08-15 |
| 1518283688 | Grace Marie Mcnutt | Internal Medicine | 2325 E Saunders St, Plaza Two, Laredo, TX 78041-5434 | 2010-04-14 |
| 1649401589 | Julio Paolo Zavala Georffino | Internal Medicine | 2325 E Saunders St, Laredo, TX 78041-5434 | 2009-07-27 |
| 1902062185 | Muhammad Raza Karim Qureshi | Internal Medicine | 2325 E Saunders St, Laredo, TX 78041-5434 | 2008-08-06 |
| 1033381058 | Zakaria I Hamdan Md Pa | Internal Medicine | 1710 E Saunders St, Suite 675b, Laredo, TX 78041-5443 | 2008-03-31 |
| Find all providers in LAREDO | ||||
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| 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.