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TEXOMA KIDNEY CARE, P.A.
NPI 1306898374
Specialist in Denison, TX

Active since May 17, 2006
201 MEMORIAL DR, SUITE 201, DENISON, TX 75020(903) 463-5057(903) 463-7661 Get Directions Write a Review

NPPES record last updated: March 12, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Texoma Kidney Care, P.a. NPPES

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

TEXOMA KIDNEY CARE, P.A. (NPI 1306898374) is a healthcare organization registered as a specialist in Denison, Texas and active in the NPI registry since May 2006. The organization lists Glen Robert Willie, President, as its authorized official.

NPPES Registry Identity

NPI1306898374
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTEXOMA KIDNEY CARE, P.A.
Location Address201 MEMORIAL DR, SUITE 201Denison, TX 75020-2026
Mailing Address201 Memorial Dr, Suite 201Denison, TX 75020-2026 · (903) 463-5057 · Fax (903) 463-7661
Phone(903) 463-5057
Fax(903) 463-7661
Organization SubpartNo
Authorized OfficialGlen Robert WilliePresident · (903) 463-5057
Enumeration DateMay 17, 2006
Last NPPES UpdateMarch 12, 2008
✔ NPI 1306898374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · G0858
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
201 MEMORIAL DR, Denison, TX 75020
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Other Identifiers 4

Medicare ID-Type Unspecified00065TTX
Other0031EETX · Blue Cross/blue Shield
Medicare PINCJ6016TX
OtherDF3764OK · Ok Railroad Medicare

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

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 Texoma Kidney Care, P.A.'s NPI number?

The NPI number for Texoma Kidney Care, P.A. is 1306898374. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Texoma Kidney Care, P.A. located?

Texoma Kidney Care, P.A. is located at 201 Memorial Dr Suite 201, Denison, TX 75020. The listed phone number is (903) 463-5057.

What is Texoma Kidney Care, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Texoma Kidney Care, P.A. was last updated on March 12, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.