Organization Active NPI

South Plains Renal Associates

  • Nephrology Physician
  • Denver City, TX
National Provider Identifier
1023385382
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
K8339 Issued in TX
Legal business name
SOUTH PLAINS RENAL ASSOCIATES
Practice address
500 W 5TH St
Denver City, TX 79323-2706
Phone
(806) 592-2090
NPI assigned
Nov 30, 2011
Last updated
Nov 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amir Memon, MD
Title
Owner
Phone
(281) 580-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X K8339 TX Primary

Addresses

Primary practice location

500 W 5TH St
Denver City, TX 79323-2706

Mailing address

800 Peakwood Dr
Suite 6H
Houston, TX 77090-2900
Phone (281) 580-9100

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1023385382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PEAKWOOD DR",
            "address_2": "SUITE 6H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902900",
            "telephone_number": "281-580-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 5TH ST",
            "city": "DENVER CITY",
            "state": "TX",
            "postal_code": "793232706",
            "telephone_number": "806-592-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PLAINS RENAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "MEMON",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-580-9100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "K8339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.