Provider Demographics
NPI:1558053066
Name:TEXAS KIDNEY INSTITUTE
Entity Type:Organization
Organization Name:TEXAS KIDNEY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PURNIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-396-4950
Mailing Address - Street 1:9900 N CENTRAL EXPY STE 215
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-0929
Mailing Address - Country:US
Mailing Address - Phone:214-396-4950
Mailing Address - Fax:877-423-5360
Practice Address - Street 1:9900 N CENTRAL EXPY STE 215
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-0929
Practice Address - Country:US
Practice Address - Phone:214-396-4950
Practice Address - Fax:877-423-5360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty