Kidney Connect Pllc

LBN: Kidney Connect Pllc
Kidney Connect Pllc is an health care organization with primary practice located at 1402 N 4Th St , Longview TX 75601-4774. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Kidney Connect Pllc can be contacted via phone (903) 234-9992, or through Mcdonald, Glenn via phone (903) 234-9992.

Contact Information

Primary practice address
1402 N 4Th St Longview TX 75601-4774
Phone: (903) 234-9992
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcdonald, Glenn Doctor of Medicine (MD)
Phone: (903) 234-9992

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1063980936
LBN Legal business name Kidney Connect Pllc
DBA Doing business as
Authorized official Mcdonald, Glenn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2018
Last updated Nov 8th, 2018 - about 7 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 1063980936 NPPES
Texas MEDICAID 135880608
Texas MEDICAID 152080101
Texas MEDICAID 114429704

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