Provider Demographics
NPI:1396354064
Name:MARKIMS NEPHROLOGY NETWORK INC
Entity type:Organization
Organization Name:MARKIMS NEPHROLOGY NETWORK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARYLOU
Authorized Official - Middle Name:L
Authorized Official - Last Name:BYLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-352-3492
Mailing Address - Street 1:90 MELROSE AVE
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-5926
Mailing Address - Country:US
Mailing Address - Phone:318-238-3820
Mailing Address - Fax:318-238-3823
Practice Address - Street 1:90 MELROSE AVE
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-5926
Practice Address - Country:US
Practice Address - Phone:318-238-3820
Practice Address - Fax:318-238-3823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty