Wichita Falls Kidney Clinic Pa

NPI 1598064552 - Internal Medicine - 207R00000X

NPI Details
NPI 1598064552
Enumeration Date 03/16/2011
Last Updated 12/20/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JAYASANKAR KALUVAPELLE JAYASANKAR
Position OWNER
Phone (940) 263-1286
Fax
Practice Location
1508 10TH ST
WICHITA FALLS TX, 76301-4401, US
Phone (940) 263-1286
Fax
Business Location
1508 10TH ST
WICHITA FALLS TX, 76301-4401, US
Phone (940) 263-1286
Fax
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Wichita Falls Kidney Clinic Pa NPI is 1598064552, taxonomy code is 207R00000X Wichita Falls Kidney Clinic Pa physically located at 1508 10th St, Wichita Falls TX, 76301-4401. NPI Number 1033115704 has the healthcare provider type.

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1598064552 NPI number is provided on an as is basis without warranty of any kind. 1598064552 is maintained by the National Plan & Provider Enumeration System. The contents of Wichita Falls Kidney Clinic Pa are for informational purposes only.