San Antonio Kidney Disease Center Physicians Group, P.l.l.c.

NPI #1700904612 in Live Oak, Texas

Provider Information

NPI Number
1700904612
Entity Type
Organization
Organization Name
San Antonio Kidney Disease Center Physicians Group, P.l.l.c.
Primary Specialty
Internal Medicine - Nephrology
Enumeration Date
Mar 27, 2007
Last Updated
Apr 10, 2014

Practice Location

Address
6700 RANDOLPH BLVD
Address 2
SUITE 102
State
Texas
ZIP Code
78233-4222
Phone
(210) 654-7326

Authorized Official

Name
MR. CLAY ROBY
Title
EXECUTIVE DIRECTOR
Phone
(210) 481-7453

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily
Internal Medicine - NephrologyNephrology

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