NORTH TEXAS KIDNEY DISEASE ASSOCIATES – NPI #1790809036
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.

NORTH TEXAS KIDNEY DISEASE ASSOCIATES is a provider located in CARROLLTON, TX. NPPES has assigned the NPI number 1790809036 to NORTH TEXAS KIDNEY DISEASE ASSOCIATES on March 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 8 years ago on Jul 12, 2018. 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 NORTH TEXAS KIDNEY DISEASE ASSOCIATES below.

NPI Profile for
NORTH TEXAS KIDNEY DISEASE ASSOCIATES

NPI Number
1790809036
Enumeration Date

(more than 19 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
NORTH TEXAS KIDNEY DISEASE ASSOCIATES
Primary location
4240 INTERNATIONAL PKWY
STE. 154
CARROLLTON, TX 75007
Phone: (469) 574-0464 Fax: (469) 574-0471
Mailing address
3315 COLORADO BLVD STE 102
DENTON, TX 76210-6885
Phone: (940) 320-1708 Fax: (940) 565-5457
Organization Subpart
Yes - NORTH TEXAS KIDNEY DISEASE ASSOCIATES is subpart of another organization.
Authorized Official
TAMMY VAUGHN
CREDENTIALING COORDINATOR
Phone: (940) 320-1708
Updated
Identifiers

Identifiers for NORTH TEXAS KIDNEY DISEASE 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
MEDICAIDTX146883702
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.