INTERNAL MEDICINE & NEPHROLOGY ASSOCIATES PA NPI 1528183621

NPI Information

NPI: 1528183621
Provider Name: INTERNAL MEDICINE & NEPHROLOGY ASSOCIATES, PA

Doing Business As: WEST PARK PRIMARY CARE

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
210 W PARK STE 104
LIVINGSTON, TX
ZIP 77351
Phone: (936) 328-5820
Get Directions

INTERNAL MEDICINE & NEPHROLOGY ASSOCIATES, PA is a nephrology internal medicine in Livingston, TX. The provider is 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. INTERNAL MEDICINE & NEPHROLOGY ASSOCIATES, PA NPI is 1528183621. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As West Park Primary Care.

The provider's business location address is:

210 W PARK STE 104
LIVINGSTON, TX
ZIP 77351-337
Phone: (936) 328-5820
Fax: (936) 328-5824

The provider's authorized official is Rhonda Knoedler .
The authorized official title is Clinic Adminsitrator and has the following contact phone number (936) 328-5820.

The CLIA number assigned to this NPI record is 45D1042412 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 1/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0096NC	OTHER	TEXAS	BCBS TX
2	P00234310	OTHER	TEXAS	RAILROAD MEDICARE PIN
3	176014201	MEDICAID	TEXAS
4	DD5409	OTHER	TEXAS	RAILROAD MEDICARE GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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