Coastal-Kidney Treatment Centers PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

COASTAL-KIDNEY TREATMENT CENTERS PLLC

Practice address

1400 Creekway Drive
Sugar Land, TX 77478

Phone

(281) 558-6555

Fax

(281) 558-6133

NPI assigned

Jun 1, 2009

Organization subpart

No

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

Authorized official

Name

Rupert Patel, MD

Title

Officer

Phone

(281) 558-6555

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1033345442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE",
            "address_2": "# 214",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822432",
            "telephone_number": "281-558-6555",
            "fax_number": "281-558-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CREEKWAY DRIVE",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77478",
            "telephone_number": "281-558-6555",
            "fax_number": "281-558-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL-KIDNEY TREATMENT CENTERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RUPERT",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "281-558-6555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207381901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX GROUP #",
            "identifier": "0053SD",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Coastal-Kidney Treatment Centers PLLC
• Dallas E Coate, MD
• Raydeania K Cobb
• Victoria Cochran
• Teresa Ann Cody, D.D.S.

• Nephrology Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.