East Texas Kidney Specialists,pa

NPI #1184689622 in Longview, Texas

Provider Information

NPI Number
1184689622
Entity Type
Organization
Organization Name
East Texas Kidney Specialists,pa
Primary Specialty
Internal Medicine - Nephrology
Enumeration Date
Apr 18, 2006
Last Updated
Oct 6, 2021

Practice Location

Address
3535 N FOURTH ST STE 301
State
Texas
ZIP Code
75605-0037
Phone
(903) 234-9992

Authorized Official

Name
MS. TIFFANY HAGOOD
Title
PRACTICE ADMINISTRATOR
Phone
(903) 234-9992

Specialties & Taxonomy Codes

Specialty
Internal Medicine - NephrologyNephrology

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