Active NPI
Greenville Nephrology Associates, PA
Doing business as Texas Renal Care
- Nephrology Physician
- Frisco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- M1218
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178616201 | Medicaid | TX |
Other names 1
- Texas Renal Care
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nephrology Physician
- Garland, TX
- NPI 1336384577
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.