OrganizationKidney Specialists, P.C.SpecialistOther Service ProvidersPractice Address1325 Eastmoreland Ave, Suite 335, Memphis, TN 38104-3519(901) 726-1199PECOS EnrollmentBased on the most recent information from CMS, provider Kidney Specialists, P.C. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1477680205Provider TypeOrganizationFull NameKidney Specialists, P.C.SubpartNoEnumeration Date2/28/2007Last Updated2/8/2012Contact InformationPractice LocationPractice Address1325 Eastmoreland Ave, Suite 335, Memphis, TN 38104-3519Phone(901) 726-1199Fax(901) 729-0794Mailing LocationMailing Address1325 Eastmoreland Ave, Suite 335, Memphis, TN 38104-3519Phone(901) 726-1199Fax(901) 729-0794Authorized OfficialNameMansour, Nawar E (Physician)Phone(901) 729-1199Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseMD0000026012Tennessee