Kidney Disease Associates

LBN: Kidney Disease Associates
Kidney Disease Associates is an health care organization with primary practice located at 5424 19Th St # 403 , Lubbock TX 79407-2162. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Kidney Disease Associates can be contacted via phone (806) 368-8782, or through Villa, Ruben Dario via phone (806) 368-6391.

Contact Information

Primary practice address
5424 19Th St # 403 Lubbock TX 79407-2162
Phone: (806) 368-8782
Fax: (806) 368-8361
Website:
Map and Directions
Authorized official contact:
Name: Villa, Ruben Dario
Phone: (806) 368-6391

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1134115124
LBN Legal business name Kidney Disease Associates
DBA Doing business as
Authorized official Villa, Ruben Dario
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2005
Last updated Jun 4th, 2024 - about 2 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 1134115124 NPPES
Texas MEDICAID 094914101

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