Organization Active NPI

Greenville Nephrology Associates, PA

Doing business as Texas Renal Care

  • Nephrology Physician
  • Frisco, TX
National Provider Identifier
1184894271
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M1218 Issued in TX
Legal business name
GREENVILLE NEPHROLOGY ASSOCIATES, PA
Doing business as
Texas Renal Care
Practice address
4085 Ohio Dr
Suite 100
Frisco, TX 75035-6240
Phone
(972) 668-9713
Fax
(214) 446-9460
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Dr. Khalid Mahmood, M.D.
Title
President
Phone
(972) 668-9713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X M1218 TX Primary

Addresses

Primary practice location

4085 Ohio Dr
Suite 100
Frisco, TX 75035-6240

Mailing address

4085 Ohio Dr
Suite 100
Frisco, TX 75035-6240
Phone (972) 668-9713

Other identifiers 1

IdentifierTypeStateIssuer
178616201MedicaidTX

Other names 1

  • Texas Renal Care Doing business as

National Provider Directory

National Provider Directory

Locations

4323 N Josey Ln
Ste 203
Carrollton, TX 75010
Phone (972) 394-7277

4309 Ridgecrest Rd
Ste 150
Greenville, TX 75402
Phone (888) 634-3575

500 N Valley Pkwy
Ste 500
Lewisville, TX 75067
Phone (972) 221-6222

4201 Medical Center Dr
#240
McKinney, TX 75069
Phone (972) 547-6969

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1184894271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 OHIO DR",
            "address_2": "SUITE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750356240",
            "telephone_number": "972-668-9713",
            "fax_number": "214-446-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 OHIO DR",
            "address_2": "SUITE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750356240",
            "telephone_number": "972-668-9713",
            "fax_number": "214-446-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE NEPHROLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-668-9713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M1218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178616201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Renal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.