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General NPI Number Information
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NPI Number | 1598631830
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Entity Type | Organization
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Legal Business Name | KIDNEY CARE SPECIALISTS OF TEXAS, PLLC
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 7616 BRANFORD PL STE 220
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City | SUGAR LAND
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State | TX
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Zip | 77479-3794
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Country | US
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Telephone | 713-530-3585
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Fax |
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Provider Business Mailing Address
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Address Line | 7616 BRANFORD PL STE 220
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City | SUGAR LAND
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State | TX
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Zip | 77479-3794
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Country | US
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Telephone | 713-530-3585
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANCY JACOB
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Credential | DO
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Telephone | 713-530-3585
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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 |
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License Number State |
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