VICTORIA KIDNEY & DIALYSIS ASSOCIATES – NPI #1770545873
Internal Medicine

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.

VICTORIA KIDNEY & DIALYSIS ASSOCIATES is a provider located in VICTORIA, TX. NPPES has assigned the NPI number 1770545873 to VICTORIA KIDNEY & DIALYSIS ASSOCIATES on April 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is LLOYD LANE GOBER, MD, P.A.. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 14 years ago on Mar 01, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VICTORIA KIDNEY & DIALYSIS ASSOCIATES below.

NPI Profile for
VICTORIA KIDNEY & DIALYSIS ASSOCIATES

NPI Number
1770545873
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VICTORIA KIDNEY & DIALYSIS ASSOCIATES
Former Legal Business Name: LLOYD LANE GOBER, MD, P.A.
Primary location
605 E SAN ANTONIO
SUITE 430E
VICTORIA, TX 77901
Phone: (361) 576-0011 Fax: (361) 576-4084
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SUSAN MAHAN
MEDICAL MANAGER
Phone: (361) 576-0011
Updated
Identifiers

Identifiers for VICTORIA KIDNEY & DIALYSIS ASSOCIATES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX080560802
MEDICAIDTX080560801
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.