Organization · Type 2 NPI

East Texas Kidney Specialists,pa

Nephrology Physician · Longview, TX

NPI number 1184689622 Active

Practice location

3535 N Fourth St Ste 301
Longview, TX 75605-0037

Fax (903) 234-8287

Specialties and licenses

Taxonomy	Code	License
Nephrology Physician Primary	207RN0300X	None listed

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

9 other providers at this address

Other nephrology physician providers in Longview

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NPI record

NPI: 1184689622
Entity type: Organization (Type 2)
Issued: Apr 18, 2006
Last updated: Oct 6, 2021
Status: Active

Other names

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East Texas Kidney Specialists · doing business as
East Texas Kidney Specialists · doing business as

Authorized official

Ms. Tiffany Hagood
Practice Administrator
(903) 234-9992

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1184689622

East Texas Kidney Specialists,pa's National Provider Identifier is 1184689622, issued on Apr 18, 2006. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Longview, TX. The record was last updated on Oct 6, 2021.