Organization · Type 2 NPI
Kidney House PLLC
Primary Care Nurse Practitioner · Dallas, TX
NPI number
1558748459
Active
Practice location
1705 Martin Luther King Jr Blvd, Suite C
Dallas, TX 75215-3222
Fax (972) 919-0425
Mailing address
1914 Skillman St, Suite 110-359
Dallas, TX 75206-8559
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | AP125430 (TX) |
Primary Care Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1558748459
Kidney House PLLC's National Provider Identifier is 1558748459, issued on Apr 29, 2015. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Dallas, TX. The record was last updated on Aug 29, 2016.