institution
Douglas Park I Ltd
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Midland, Texas
NPI 1053395103

Douglas Park I Ltd is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Midland, TX and is specialized in End-Stage Renal Disease (ESRD) Treatment. Douglas Park I Ltd practices in Midland, TX. The NPI Number for Douglas Park I Ltd is 1053395103 and holds a License No. 006898 (Texas).

The current practice location address for Douglas Park I Ltd is 705 W Wadley Ave, Midland, TX and can be reached out via phone at 432-687-1201 and via fax at 432-687-5008.

Location: 705 W Wadley Ave, Midland, TX, 79705-5351
institution
Provider Profile Details
NPI Number
1053395103
Provider Name
Douglas Park I Ltd
Credential
Provider Entity Type
Organization
Address
705 W Wadley Ave, Midland, TX, 79705-5351
Phone Number
432-687-1201
Fax Number
432-687-5008
Provider Enumeration Date
12/02/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
HH6176 01 TX BC/BS
institution
Provider Business Practice Location Address Details
Address
705 W Wadley Ave
City
State
Zip
79705-5351
Phone Number
432-687-1201
Fax Number
432-687-5008
person
Provider Business Mailing Address Details
Address
705 W Wadley Ave
City
State
Zip
79705-5351
Phone Number
432-687-1201
Fax Number
432-687-5008
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
006898 (Texas)
Definition
Definition to come...
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