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Ponderosa Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Dickinson, Texas
NPI 1275876633

Ponderosa 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. Ponderosa Dialysis Llc practices in Dickinson, TX. The NPI Number for Ponderosa Dialysis Llc is 1275876633 and holds a License No. (Texas).

The current practice location address for Ponderosa Dialysis Llc is 3290 Gulf Fwy S Ste H, Dickinson, TX and can be reached out via phone at 281-337-2175 and via fax at 281-337-2386.

Location: 3290 Gulf Fwy S Ste H, Dickinson, TX, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275876633
Provider Name
Ponderosa Dialysis Llc
Credential
Provider Entity Type
Organization
Address
3290 Gulf Fwy S Ste H, Dickinson, TX, 37027-7569
Phone Number
281-337-2175
Fax Number
281-337-2386
Provider Enumeration Date
04/03/2013
Last Update Date
09/14/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
3469405-01 05 TX
institution
Provider Business Practice Location Address Details
Address
3290 Gulf Fwy S Ste H
City
Dickinson
State
Texas
Zip
77539-4542
Phone Number
281-337-2175
Fax Number
281-337-2386
person
Provider Business Mailing Address Details
Address
3290 Gulf Fwy S Ste H
City
Dickinson
State
Texas
Zip
77539-4542
Phone Number
281-337-2175
Fax Number
281-337-2386
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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