Southlake Kidney Specialists, Pllc

NPI #1003465790 in Southlake, Texas

Provider Information

NPI Number
1003465790
Entity Type
Organization
Organization Name
Southlake Kidney Specialists, Pllc
Primary Specialty
Internal Medicine - Nephrology
Enumeration Date
Sep 5, 2019
Last Updated
Jan 29, 2020

Practice Location

Address
630 N KIMBALL AVE STE 100
State
Texas
ZIP Code
76092-6886
Phone
(817) 733-9367

Authorized Official

Name
DR. SHARMILA DEVIDOSS, MD
Title
PHYSICIAN
Phone
(817) 733-9367

Specialties & Taxonomy Codes

Specialty
Internal Medicine - NephrologyNephrology

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