| Coastal-kidney Treatment Centers Pllc | |
|
12121 Richmond Ave #214 Houston TX 77082-2432 | |
| (281) 558-6555 | |
| (281) 558-6133 |
| Full Name | Coastal-kidney Treatment Centers Pllc |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 12121 Richmond Ave, Houston, Texas |
| Authorized Official Name and Position | Rupert Patel (OFFICER) |
| Authorized Official Contact | 2815586555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal-kidney Treatment Centers Pllc Po Box 2588 Stafford TX 77497-2588 Ph: (281) 558-6555 | Coastal-kidney Treatment Centers Pllc 12121 Richmond Ave #214 Houston TX 77082-2432 Ph: (281) 558-6555 |
| NPI Number | 1013155340 |
|---|---|
| Provider Enumeration Date | 01/23/2009 |
| Last Update Date | 02/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013155340 | NPI | - | NPPES |
| 202933201 | Medicaid | TX | |
| 0053SD | Other | TX | BCBSTX GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Texas) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (Texas) | Primary |
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