MEDICARE: NEPHROLOGY PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician

General Provider Information

NPI Number	:	1699710418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEPHROLOGY PA

Provider Business Mailing Address
First Line	:	6560 FANNIN ST
Second Line	:	2206
City	:	HOUSTON
State	:	TX
Zip	:	77030-2761
Country	:	US
Telephone Number	:	713-790-4615
Fax Number	:	713-790-5878

Provider Business Practice Location Address
First Line	:	6560 FANNIN ST
Second Line	:	2206
City	:	HOUSTON
State	:	TX
Zip	:	77030-2761
Country	:	US
Telephone Number	:	713-790-4615
Fax Number	:	713-790-5878

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JUAN J OLIVERO
Credential	:	MD
Telephone Number	:	713-790-4615

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1851414684 — DR. SPENCER HENRY SU M.D.
Practice Location Address:

6560 FANNIN ST , SUITE 2206
HOUSTON, TX
77030-2761

Practice Phone: 713-790-4615
Practice Fax: 713-790-5878

1518928472 — GEORGE P. NOON MD
Practice Location Address:

6560 FANNIN ST , SUITE 800
HOUSTON, TX
77030-2761

Practice Phone: 713-790-3311
Practice Fax: 713-790-4699

1740284710 — KETTI AWAD MD
Practice Location Address:

6560 FANNIN ST , SUITE 1130
HOUSTON, TX
77030-2761

Practice Phone: 713-363-8055
Practice Fax: 713-790-1060

1619972692 — DOLON C. DAS MD
Practice Location Address:

6560 FANNIN ST , SUITE 1532
HOUSTON, TX
77030-2761

Practice Phone: 713-795-5005
Practice Fax: 713-795-5999

1104823483 — SRINIVASACHARI VATSALA MD
Practice Location Address:

6560 FANNIN ST , STE 1840
HOUSTON, TX
77030-2761

Practice Phone: 713-799-2050
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1760489595 — DR. STEPHEN IVOR ESSES M.D.
Practice Location Address:

6560 FANNIN ST , SUITE 1016
HOUSTON, TX
77030-2761

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1770580698 — GERARD THOMAS GABEL M.D.
Practice Location Address:

6560 FANNIN ST , SUITE 1016
HOUSTON, TX
77030-2761

Practice Phone: 713-610-4263
Practice Fax: 713-610-4264

Directions to “NEPHROLOGY PA ” Practice Location

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