institution
Nra Ada Oklahoma Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ada, Oklahoma
NPI 1083651806

Nra Ada Oklahoma Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Ada, OK and is specialized in End-Stage Renal Disease (ESRD) Treatment. Nra Ada Oklahoma Llc practices in Ada, OK. The NPI Number for Nra Ada Oklahoma Llc is 1083651806 and holds a License No. N/A (Oklahoma).

The current practice location address for Nra Ada Oklahoma Llc is 324 Nw J.a. Richardson Loop, Ada, OK and can be reached out via phone at 580-421-9131 and via fax at 580-421-9135.

Location: 324 Nw J.a. Richardson Loop, Ada, OK, 74820-2017
institution
Provider Profile Details
NPI Number
1083651806
Provider Name
Nra Ada Oklahoma Llc
Credential
Provider Entity Type
Organization
Address
324 Nw J.a. Richardson Loop, Ada, OK, 74820-2017
Phone Number
580-421-9131
Fax Number
580-421-9135
Provider Enumeration Date
06/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200100430A 05 OK
37D1049560 01 OK CLIA CERTIFICATE OF WAIVE
institution
Provider Business Practice Location Address Details
Address
324 Nw J.a. Richardson Loop
City
Ada
State
Zip
74820-2017
Phone Number
580-421-9131
Fax Number
580-421-9135
person
Provider Business Mailing Address Details
Address
324 Nw J.a. Richardson Loop
City
Ada
State
Zip
74820-2017
Phone Number
580-421-9131
Fax Number
580-421-9135
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
N/A (Oklahoma)
Definition
Definition to come...
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