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Nacogdoches Nephrology, Pa
Specialist in Nacogdoches, Texas
NPI 1710120167

Nacogdoches Nephrology, Pa is a Specialist based in Nacogdoches, TX. Nacogdoches Nephrology, Pa practices in Nacogdoches, TX. The NPI Number for Nacogdoches Nephrology, Pa is 1710120167 and holds a License No. J7203 (Texas).

The current practice location address for Nacogdoches Nephrology, Pa is 626 Russell Blvd, Nacogdoches, TX and can be reached out via phone at 936-552-7216 and via fax at 936-552-7274.

Location: 626 Russell Blvd, Nacogdoches, TX, 75965-1246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710120167
Provider Name
Nacogdoches Nephrology, Pa
Credential
Provider Entity Type
Organization
Address
626 Russell Blvd, Nacogdoches, TX, 75965-1246
Phone Number
936-552-7216
Fax Number
936-552-7274
Provider Enumeration Date
04/15/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
113679803 05 TX
institution
Provider Business Practice Location Address Details
Address
626 Russell Blvd
City
Nacogdoches
State
Texas
Zip
75965-1246
Phone Number
936-552-7216
Fax Number
936-552-7274
person
Provider Business Mailing Address Details
Address
626 Russell Blvd
City
Nacogdoches
State
Texas
Zip
75965-1246
Phone Number
936-552-7216
Fax Number
936-552-7274
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
J7203 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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