CENTRAL TEXAS KIDNEY ASSOC. (NPI# 1134262074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134262074 |
| Entity Type | Organization |
| Organization Name | CENTRAL TEXAS KIDNEY ASSOC. |
| Practice Address |
408 W.45th St Austin TX 78751 |
| Practice Telephone | 5124515800 |
| Practice Fax Number | 5124516341 |
| Mailing Telephone | 5124515800 |
| Mailing Fax Number | 5124516341 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MALAVIKA VINTA (PRACTITIONER) |
| Authorized Official Telephone | 5124515800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZN0300X |
Specialist/Technologist, Other Specialization: Nephrology |
L9536 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
408 W.45TH ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235657867 | Joy Miller | Social Worker | 4920 N Ih 35 Suite 110, Austin, TX 78751 | 2017-09-04 |
| 1053859306 | Metabolic Therapy Inc. | Pharmacy | 4103 Avenue D, Austin, TX 78751 | 2017-02-07 |
| 1316390438 | Hillary Guest | Speech-Language Pathologist | 5406 Middle Fiskville Rd Apt 410, Austin, TX 78751 | 2016-07-14 |
| 1891151866 | Simonek Vision, Pllc | Optometrist | 1000 E. 41st Street, Suite 120, Austin, TX 78751 | 2016-01-06 |
| 1750771911 | Angela Ziskis | Psychologist | 4110 Gualdalupe Street, Building 794, Specialty Services, Austin, TX 78751 | 2015-01-27 |
| 1750783841 | Lizette Araujo | Psychologist | 5225 North Lamar Blvd., Austin, TX 78751 | 2014-09-19 |
| 1013323724 | Matrix Therapy, LLC | Clinic/Center | 5204 Avenue F, Austin, TX 78751 | 2014-07-02 |
| 1215281738 | Elizabeth Ann White | Clinical Nurse Specialist | 818 East 53rd Street, Austin, TX 78751 | 2012-11-06 |
| 1619259934 | Samir K Momin | Dentist | 1000 E 41st Street, Suite 230, Austin, TX 78751 | 2011-09-13 |
| 1467740753 | Gary G. Plakias | Technician, Other | 5400 N Lamar Blvd, 206b, Austin, TX 78751 | 2011-07-20 |
| Find all providers in zip 78751 | ||||
| Taxonomy Code | 246ZN0300X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Nephrology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417563057 | Nephrology Associates of Greater Houston, Pllc | Specialist/Technologist, Other | 1650 W Baker Rd, Baytown, TX 77521-2284 | 2020-09-18 |
| 1154405462 | Cla Surgical Assisting | Specialist/Technologist, Other | 2600 Saint Michael Dr, Texarkana, TX 75503-2372 | 2006-10-24 |
| 1396848313 | Greater Houston Kidney Specialists LLP | Specialist/Technologist, Other | 10023 South Main Suite C-9, Main Medical Plaza, Houston, TX 77025 | 2006-09-06 |
| 1881606879 | South Texas Nephrology, P.a | Specialist/Technologist, Other | 8038 Wurzbach Rd, #480, San Antonio, TX 78229-3817 | 2006-08-12 |
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| 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.