Organization Active NPI

Kidney & Hypertension Group of Laredo PLLC

  • Nephrology Physician
  • Laredo, TX
National Provider Identifier
1194172403
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
Q7745 Issued in TX
Legal business name
KIDNEY & HYPERTENSION GROUP OF LAREDO PLLC
Practice address
1710 E Saunders St
Ste B675
Laredo, TX 78041
Phone
(956) 724-3108
Fax
(956) 796-9495
NPI assigned
May 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Dr. Grace McNutt, M.D.
Title
President
Phone
(956) 796-1390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Q7745 TX Primary

Addresses

Primary practice location

1710 E Saunders St
Ste B675
Laredo, TX 78041

Mailing address

1710 E Saunders St
Ste B675
Laredo, TX 78041
Phone (956) 724-3108

Other identifiers 1

IdentifierTypeStateIssuer
1518283688OtherTXNPI

National Provider Directory

National Provider Directory

Locations

2412 Jacaman Rd
Ste 107
Laredo, TX 78041

Practitioners & affiliated clinicians

Practitioners 2

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": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1194172403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 E SAUNDERS ST",
            "address_2": "STE B675",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78041",
            "telephone_number": "956-724-3108",
            "fax_number": "956-796-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E SAUNDERS ST",
            "address_2": "STE B675",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78041",
            "telephone_number": "956-724-3108",
            "fax_number": "956-796-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY & HYPERTENSION GROUP OF LAREDO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "MCNUTT",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-796-1390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "Q7745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518283688",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.