360 KIDNEY CARE (NPI# 1104427970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104427970 |
| Entity Type | Organization |
| Organization Name | 360 KIDNEY CARE |
| Practice Address |
4970 N Expressway Ste D Brownsville TX 78526-4269 |
| Practice Telephone | 9568970304 |
| Practice Fax Number | 8883131449 |
| Mailing Telephone | 9568970304 |
| Mailing Fax Number | 8883131449 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | DR. PAUL-MOREAU BOSSOUS (PRESIDENT) |
| Authorized Official Telephone | 9568970304 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
4970 N EXPRESSWAY STE D |
| City | BROWNSVILLE |
| State | TX |
| Zip Code | 78526-4269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891629 | Katia Starlenis Bossous | Registered Nurse | 4970 N Expressway Ste D, Brownsville, TX 78526-4269 | 2020-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938472 | Eva Gabriela Gonzalez | Speech-Language Pathologist | 1900, 77 N Expy, Suite K, Brownsville, TX 78526 | 2020-07-01 |
| 1598390395 | Miguel Angel Segura | Physical Therapy Assistant | 1900, 77 N Expy Suit K, Brownsville, TX 78526 | 2020-03-12 |
| 1013553072 | Michaela Christine Arteaga | Specialist/Technologist | 15151 Mission Bend Drive, Brownsville, TX 78526 | 2019-11-25 |
| 1871147975 | Madeline Jules Rodriguez | Dentist | 2155 Ruben M Torres Blvd, Suite 4, Brownsville, TX 78526 | 2019-07-26 |
| 1194381616 | Ben Medelez IIi | Physical Therapy Assistant | 4920 N. Expressway 77, Ste C, Brownsville, TX 78526 | 2019-05-10 |
| 1700368297 | Hasayali Mejia | Occupational Therapy Assistant | 4920 N Expressway 77, Suite C, Brownsville, TX 78526 | 2018-08-31 |
| 1801381983 | J&m Home Health LLC | Home Health | 183 Kleberg Avenue, Brownsville, TX 78526 | 2018-06-29 |
| 1407346158 | Ignite Physical Therapy | Clinic/Center | 1805 Ruben Torres Blvd, Brownsville, TX 78526 | 2018-05-17 |
| 1982192001 | Uvalde County Hospital Authority | Skilled Nursing Facility | 310 America Dr, Brownsville, TX 78526 | 2018-04-24 |
| 1821597212 | Metx, LLC | Audiologist-Hearing Aid Fitter | 3000 Pablo Kisel Blvd Ste 300c, Brownsville, TX 78526 | 2018-02-12 |
| Find all providers in zip 78526 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679990360 | Ngozi Okoba | Internal Medicine | 942 Wildrose Ln, Brownsville, TX 78520-8817 | 2014-03-20 |
| 1194018176 | Daniel W Malasko, Md, Pa | Internal Medicine | 2600 N Coria St, Brownsville, TX 78520-8459 | 2011-05-24 |
| 1962627026 | Preston M Ukoli | Internal Medicine | 1211 E Alton Gloor Blvd, Brownsville, TX 78526-3831 | 2007-04-16 |
| 1437118981 | Daniel William Malasko | Internal Medicine | 2600 N Coria, Brownsville, TX 78520 | 2006-03-22 |
| 1205380102 | Rgv Vascular Access Center Pllc | Internal Medicine | 942 Wildrose Ln, Brownsville, TX 78520-8817 | 2016-08-08 |
| 1710270657 | Subra Anandasivam Md Pa | Internal Medicine | 64 S Price Rd, Suite A, Brownsville, TX 78521-2459 | 2011-05-25 |
| 1972560522 | Subramaniam Anandasivam | Internal Medicine | 64 S Price Rd, Suite A, Brownsville, TX 78521-2459 | 2006-04-27 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BROWNSVILLE |
| Zip Code | 78526 |
Please comment or provide details below to improve the information on 360 KIDNEY CARE.
| 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.