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General NPI Number Information
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NPI Number | 1295915338
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Entity Type | Organization
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Legal Business Name | TEXAS INSTITUTE FOR KIDNEY AND ENDOCRINE DISORDERS, PA
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 10 MEDICAL CENTER BLVD STE A
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City | LUFKIN
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State | TX
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Zip | 75904-3163
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Country | US
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Telephone | 936-632-4282
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Fax | 936-632-4249
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Provider Business Mailing Address
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Address Line | 10 MEDICAL CENTER BLVD STE A
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City | LUFKIN
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State | TX
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Zip | 75904-3163
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Country | US
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Telephone | 936-632-4282
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Fax | 936-632-4249
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LANCE A SLOAN
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Credential | M.D.
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Telephone | 936-632-4282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | H0822
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | H0822
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License Number State | TX
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