The Kidney Clinic LLC
NPI #1760665129 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1760665129
- Entity Type
- Organization
- Organization Name
- The Kidney Clinic LLC
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Dec 7, 2007
- Last Updated
- Dec 7, 2009
Practice Location
- Address
- 333 DR MICHAEL DEBAKEY DR
- Address 2
- SUITE 140
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70601-5887
- Phone
- (337) 494-7090
Authorized Official
- Name
- DR. ABDEL FARID ABU SHAMAT, M.D
- Title
- MEMBER/PRESIDENT
- Phone
- (337) 494-7090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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