Provider Demographics
NPI:1871175620
Name:TEXAS ADVANCED RENAL HEALTH
Entity type:Organization
Organization Name:TEXAS ADVANCED RENAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:NAWAF
Authorized Official - Last Name:SADEDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-548-4833
Mailing Address - Street 1:7300 ELDORADO PKWY STE 125
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-7891
Mailing Address - Country:US
Mailing Address - Phone:972-548-4833
Mailing Address - Fax:972-548-4837
Practice Address - Street 1:7300 ELDORADO PKWY STE 125
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-7891
Practice Address - Country:US
Practice Address - Phone:972-548-4833
Practice Address - Fax:972-548-4837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty