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KIDNEY CONNECT PLLC
NPI 1063980936
Internal Medicine - Nephrology in Longview, TX

Active since November 08, 2018
1402 N 4TH ST, LONGVIEW, TX 75601(903) 234-9992 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kidney Connect Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIDNEY CONNECT PLLC (NPI 1063980936) is a healthcare organization registered as a nephrology in Longview, Texas and active in the NPI registry since November 2018. The organization lists Glenn Mcdonald, Physician, as its authorized official.

NPPES Registry Identity

NPI1063980936
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY CONNECT PLLC
Location Address1402 N 4TH STLongview, TX 75601-4774
Mailing Address1402 N 4th StLongview, TX 75601-4774 · (903) 234-9992
Phone(903) 234-9992
Organization SubpartNo
Authorized OfficialGlenn McdonaldPhysician · (903) 234-9992
Enumeration DateNovember 8, 2018
✔ NPI 1063980936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1402 N 4TH ST, Longview, TX 75601
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Other Identifiers 3

Medicaid114429704TX
Medicaid135880608TX
Medicaid152080101TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENIS ADAMS PAC
Physician Assistant
1402 N 4TH ST
LONGVIEW, TX 75601
Gregg County (903) 757-8878
JESSICA EDWARDS
Family Medicine
1402 N 4TH ST
LONGVIEW, TX 75601
Gregg County (903) 757-8878
MATTHEW THOMAS HOFFMANN MD
Dermatology
1402 N 4TH ST
LONGVIEW, TX 75601
Gregg County (903) 757-8878

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kidney Connect PLLC's NPI number?

The NPI number for Kidney Connect PLLC is 1063980936. It was assigned to this organization in the NPPES registry on November 8, 2018.

Where is Kidney Connect PLLC located?

Kidney Connect PLLC is located at 1402 N 4th St, Longview, TX 75601. The listed phone number is (903) 234-9992.

What is Kidney Connect PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Kidney Connect PLLC was last updated on November 8, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.