SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.
NPI 1700904612
Internal Medicine - Nephrology in Live Oak, TX

Active since March 27, 2007
6700 RANDOLPH BLVD, SUITE 102, LIVE OAK, TX 78233(210) 654-7326(210) 646-0042 Get Directions Write a Review

NPPES record last updated: April 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Antonio Kidney Disease Center Physicians Group, P.l.l.c. NPPES

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

SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. (NPI 1700904612) is a healthcare organization registered as a nephrology in Live Oak, Texas and active in the NPI registry since March 2007. The organization lists Clay Roby, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1700904612
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.
Location Address6700 RANDOLPH BLVD, SUITE 102Live Oak, TX 78233-4222
Mailing Address7142 San Pedro Ave, Ste 120San Antonio, TX 78216-6256 · (210) 481-7453 · Fax (210) 481-7463
Fax(210) 646-0042
Organization SubpartNo
Authorized OfficialClay RobyExecutive Director · (210) 481-7453
Enumeration DateMarch 27, 2007
Last NPPES UpdateApril 10, 2014
NPI 1700904612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
6700 RANDOLPH BLVD, Live Oak, TX 78233

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
6700 RANDOLPH BLVD, STE 101
LIVE OAK, TX 78233

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 San Antonio Kidney Disease Center Physicians Group, P.L.L.C.'s NPI number?

The NPI number for San Antonio Kidney Disease Center Physicians Group, P.L.L.C. is 1700904612. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is San Antonio Kidney Disease Center Physicians Group, P.L.L.C. located?

San Antonio Kidney Disease Center Physicians Group, P.L.L.C. is located at 6700 Randolph Blvd Suite 102, Live Oak, TX 78233. The listed phone number is (210) 654-7326.

What is San Antonio Kidney Disease Center Physicians Group, P.L.L.C.'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 San Antonio Kidney Disease Center Physicians Group, P.L.L.C. was last updated on April 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.