East Texas Kidney Specialists

LBN: East Texas Kidney Specialists,Pa
East Texas Kidney Specialists is an health care organization with primary practice located at 3535 N Fourth St Ste 301 , Longview TX 75605-0037. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. East Texas Kidney Specialists,Pa can be contacted via phone (903) 234-9992, or through Hagood, Tiffany via phone (903) 234-9992.

Contact Information

Primary practice address
3535 N Fourth St Ste 301 Longview TX 75605-0037
Phone: (903) 234-9992
Fax: (903) 234-8287
Website:
Map and Directions
Authorized official contact:
Name: Hagood, Tiffany
Phone: (903) 234-9992

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1184689622
LBN Legal business name East Texas Kidney Specialists,Pa
DBA Doing business as East Texas Kidney Specialists
Authorized official Hagood, Tiffany
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2006
Last updated Oct 6th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184689622 NPPES
Texas Other 0035GN BLUE CROSS & BLUE SHIELD

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