Texoma Kidney Care, P.a.

NPI #1306898374 in Denison, Texas

Provider Information

NPI Number: 1306898374
Entity Type: Organization
Organization Name: Texoma Kidney Care, P.a.
Primary Specialty: Specialist
Enumeration Date: May 17, 2006
Last Updated: Mar 12, 2008

Practice Location

Address: 201 MEMORIAL DR
Address 2: SUITE 201
City: Denison
State: Texas
ZIP Code: 75020-2026
Phone: (903) 463-5057

Authorized Official

Name: GLEN ROBERT WILLIE, M.D.
Title: PRESIDENT
Phone: (903) 463-5057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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