institution
Rayburn Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Odessa, Texas
NPI 1053689034

Rayburn Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, TX and is specialized in End-Stage Renal Disease (ESRD) Treatment. Rayburn Dialysis Llc practices in Odessa, TX. The NPI Number for Rayburn Dialysis Llc is 1053689034 and holds a License No. 110111 (Texas).

The current practice location address for Rayburn Dialysis Llc is 6005 Eastridge Rd, Odessa, TX and can be reached out via phone at 432-362-3008 and via fax at 432-362-3302.

Location: 6005 Eastridge Rd, Odessa, TX, 37027-7569
institution
Provider Profile Details
NPI Number
1053689034
Provider Name
Rayburn Dialysis Llc
Credential
Provider Entity Type
Organization
Address
6005 Eastridge Rd, Odessa, TX, 37027-7569
Phone Number
432-362-3008
Fax Number
432-362-3302
Provider Enumeration Date
12/06/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
297639101 05 TX
027740 01 TX KIDNEY PROGRAM
institution
Provider Business Practice Location Address Details
Address
6005 Eastridge Rd
City
State
Zip
79762-5019
Phone Number
432-362-3008
Fax Number
432-362-3302
person
Provider Business Mailing Address Details
Address
6005 Eastridge Rd
City
State
Zip
79762-5019
Phone Number
432-362-3008
Fax Number
432-362-3302
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
110111 (Texas)
Definition
Definition to come...
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