PERMIAN NEPHROLOGY ASSOCIATES PA NPI 1760596969

NPI Information

NPI: 1760596969
Provider Name: PERMIAN NEPHROLOGY ASSOCIATES, PA
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
3302 W GOLF COURSE RD
SUITE 100
MIDLAND, TX
ZIP 79703
Phone: (432) 522-2304
Get Directions

PERMIAN NEPHROLOGY ASSOCIATES, PA is a nephrology internal medicine in Midland, 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. PERMIAN NEPHROLOGY ASSOCIATES, PA NPI is 1760596969. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3302 W GOLF COURSE RD
SUITE 100
MIDLAND, TX
ZIP 79703-110
Phone: (432) 522-2304
Fax: (432) 522-2307

The provider's authorized official is Theresa A Bernal .
The authorized official title is Office Manager and has the following contact phone number (432) 522-2304.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 2/24/2012.

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	G5429	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	630161	TEXAS	No
3	207RN0300X	Internal Medicine	Nephrology	F1867	TEXAS	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	C20031	MEDICARE UPIN	TEXAS
2	CN3681	OTHER		RAILROAD MEDICARE
3	084735202	MEDICAID	TEXAS
4	0847352-02	MEDICAID	TEXAS
5	D97588	MEDICARE UPIN
6	00R29Z	MEDICARE PIN

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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