NORTH TEXAS KIDNEY DISEASE ASSOCIATES


Address: 4370 Medical Arts Dr, Suite 210, Flower Mound, TX 75028
Phone: 9722190558

NORTH TEXAS KIDNEY DISEASE ASSOCIATES (NPI# 1063871440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063871440
Entity Type Organization
Organization Name NORTH TEXAS KIDNEY DISEASE ASSOCIATES
Practice Address 4370 Medical Arts Dr
Suite 210
Flower Mound
TX 75028
Mailing Address 3315 Colorado Blvd
Suite 102
Denton
TX 76210-6884
Practice Telephone 9722190558
Practice Fax Number 9724369273
Mailing Telephone 9403201708
Mailing Fax Number 9405655457
Enumeration Date 2016-02-15
Last Update Date 2018-07-11
Authorized Official Name TAMMY VAUGHN (CREDENTIALING COORDINATOR)
Authorized Official Telephone 9403201708
Is Organization Subpart Y
Parent Organization Name NORTH TEXAS KIDNEY DISEASE ASSOCIATES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 146883702 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154875839 North Texas Kidney Disease Associates Internal Medicine 4708 Alliance Blvd Ste 685, Plano, TX 75093 2016-08-10
1750405197 North Texas Kidney Disease Associates Internal Medicine 3315 Colorado Blvd Ste 102, Denton, TX 76210 2007-03-19
1821169632 North Texas Kidney Disease Associates Internal Medicine 1600 Waters Ridge Dr, Ste. A, Lewisville, TX 75057 2006-11-13
1790239911 North Texas Kidney Disease Associates Internal Medicine 6190 Lbj Fwy, Suite 702, Dallas, TX 75240 2016-08-04
1154777068 North Texas Kidney Disease Associates Internal Medicine 4333 N Josey Ln, Suite 202, Carrollton, TX 75010 2016-05-10
1770942773 North Texas Kidney Disease Associates Internal Medicine 4312 Heritage Trace Pkwy, Suite 708, Fort Worth, TX 76244 2016-02-18
1174990311 North Texas Kidney Disease Associates Internal Medicine 4401 Coit Rd, Suite 303, Frisco, TX 75035 2015-08-24
1093182305 North Texas Kidney Disease Associates Internal Medicine 2609 Scripture St, Denton, TX 76201 2015-08-24
1285036756 North Texas Kidney Disease Associates Internal Medicine 1600 Coit Rd, Bldg. 1, Suite 300, Plano, TX 75075 2014-09-16
1245492511 North Texas Kidney Disease Associates Internal Medicine 6331 Boulevard 26, Ste. 220, North Richland Hills, TX 76180 2008-06-27

Office Location

Street Address 4370 MEDICAL ARTS DR
SUITE 210
City FLOWER MOUND
State TX
Zip Code 75028

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720089949 Charles Po-yang Lee Radiology 4370 Medical Arts Dr, Ste 100, Flower Mound, TX 75028-1712 2005-08-10
1184015521 Reproduction Healthcare Pllc Specialist 4370 Medical Arts Dr, #315, Flower Mound, TX 75028-1712 2015-02-06
1912308271 Tx Digestive Disease Consultants Nurse Practitioner 4370 Medical Arts Dr, #295, Flower Mound, TX 75028-1712 2014-09-05
1144650375 Complete Fertility Care, Pllc Clinic/Center 4370 Medical Arts Dr, Suite # 315, Flower Mound, TX 75028-1712 2013-11-25
1609112358 Jeremy Drew Sanderson, Md, Pa Otolaryngology 4370 Medical Arts Dr, Suite 200, Flower Mound, TX 75028-1712 2012-12-28
1265693311 Nishant Jayanti Patel Internal Medicine 4370 Medical Arts Dr, Suite 295, Flower Mound, TX 75028-1712 2008-06-20
1306046859 Praveena Jyothinagaram Specialist 4370 Medical Arts Dr, Suite 210, Flower Mound, TX 75028-1712 2007-07-23
1679792048 Jeremy Drew Sanderson Otolaryngology 4370 Medical Arts Dr, Suite 200, Flower Mound, TX 75028-1712 2007-04-24
1619001534 Amy S Lungren Md Pa Obstetrics & Gynecology 4370 Medical Arts Dr, Suite 300, Flower Mound, TX 75028-1712 2007-03-15
1376645283 John Lawrence Fairbanks Urology 4370 Medical Arts Dr, Suite 105, Flower Mound, TX 75028-1712 2006-09-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578185047 Too Health LLC Home Health 1404 Mimosa Ct, Flower Mound, TX 75028 2020-05-07
1417448127 Kyle Miller Physical Therapist 4401 Long Prairie Rd Ste 300, Flower Mound, TX 75028 2018-05-29
1659898450 Daniel De Armas Optometrist 5801 Long Prairie Rd Ste 360, Flower Mound, TX 75028 2017-08-23
1740727114 Darya Ilushin Chiropractor 4305 Windsor Centre Trl Ste 100, Flower Mound, TX 75028 2017-01-24
1033661194 Rsquared Healthcare Solutions & Consulting Dentist 2121 Lavender Lane, Flower Mound, TX 75028 2016-10-25
1912450578 Jeannie Jin Wang Dentist 4421 Long Prairie Rd., #400, Flower Mound, TX 75028 2016-08-01
1700232121 Carla Upperman-xu Pediatrics 2560 Central Park Ave, Suite 195, Flower Mound, TX 75028 2016-05-05
1487015731 Bincy Philip Nurse Practitioner 500 Flower Mound Rd, Suite 102, Flower Mound, TX 75028 2016-03-15
1710369491 Medical Massage Rx Chiropractor 2616 Long Prairie Rd., Suite 101, Flower Mound, TX 75028 2015-06-18
1821485673 Audrey Morris Nurse Practitioner 4441 Long Prairie Road, Suite 400, Flower Mound, TX 75028 2015-04-20
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982203659 Nephrology and Hypertension Specialists Pa Internal Medicine 4102 Woodlawn Ave Ste 220, Pasadena, TX 77504-1949 2020-10-22
1437781960 Haus Medical Group Pllc Internal Medicine 1315 St Joseph Pkwy Ste 1704, Houston, TX 77002-8238 2020-02-12
1962040949 Ngoc-han Thi Tran Internal Medicine 3295 S Cooper St Ste 119, Arlington, TX 76015-2359 2019-12-20
1659916617 Heartland Physicians Associates Nephrology Pllc Internal Medicine 150 Pine Forest Dr Ste 501, Shenandoah, TX 77384-5304 2019-11-14
1578106894 Cardiorenal Therapeutics of North Texas Pllc Internal Medicine 300 N Highland Ave Ste 365, Sherman, TX 75092-7393 2019-10-18
1639711534 Immaculate Vascular Access Center Pllc Internal Medicine 349 S Helen Moore Rd Apt 6205, San Benito, TX 78586-9091 2019-10-11
1376193433 Ntkc - Dfw, Pllc Internal Medicine 10700 Victoria Ash Dr., Keller, TX 76244 2019-09-19
1841849098 Austin Kidney Care LLC Internal Medicine 2005 Palo Duro Rd, Austin, TX 78757-3242 2019-09-10
1467000828 Ntkc-dfw, Pllc Internal Medicine 2220 Bryan Pl Ste 104, Midlothian, TX 76065-7127 2019-08-29
1306407697 H&n Medical Investment, LLC Internal Medicine 4201 Medical Center Dr. Ste 240, Mckinney, TX 75069-1774 2019-06-26
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Competitor

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City FLOWER MOUND
Zip Code 75028

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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