SOUTHLAKE KIDNEY SPECIALISTS, PLLC

SOUTHLAKE, TX
NPI1003465790
Entity TypeOrganization
Authorized ContactSHARMILA DEVIDOSS
Physician
817-733-9367
Organization Subpart ?No
Primary Taxonomy207RN0300X Internal Medicine Nephrology
Enumeration Date2019-09-05
Last Update Date2020-01-29
Business Address
SOUTHLAKE KIDNEY SPECIALISTS, PLLC
630 N KIMBALL AVE STE 100
SOUTHLAKE, TX 76092-6886
Phone number: 817-733-9367
Mailing Address
SOUTHLAKE KIDNEY SPECIALISTS, PLLC
701 MONTE CARLO DR
SOUTHLAKE, TX 76092-1159
Phone number: 817-733-9367
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