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NPI Code Detail

MEDICARE: CAREWELL KIDNEY DOCTORS PLLC

MEDICARE: CAREWELL KIDNEY DOCTORS PLLC
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
1207RN0300XNephrology PhysicianN7908TX

General Provider Information

NPI Number : 1851631204
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAREWELL KIDNEY DOCTORS PLLC
Provider Business Mailing Address
First Line : 6565 N MACARTHUR BLVD STE 225
Second Line :
City : IRVING
State : TX
Zip : 75039-2482
Country : US
Telephone Number : 469-316-2919
Fax Number : 972-767-4374
Provider Business Practice Location Address
First Line : 6565 N MACARTHUR BLVD STE 225
Second Line :
City : IRVING
State : TX
Zip : 75039-2482
Country : US
Telephone Number : 469-316-2919
Fax Number : 972-767-4374
Authorized Official
Title or Position : OWNER
Name : ANITHA BYREDDY
Credential : MD, MPH
Telephone Number : 469-316-2919
Provider Enumeration Date : 02/21/2013
Last Update Date : 03/04/2013

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Directions to “CAREWELL KIDNEY DOCTORS PLLC ” Practice Location

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