institution
Douglas Park I, Ltd
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Odessa, Texas
NPI 1306820451

Douglas Park I, Ltd is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Odessa, TX and is specialized in End-Stage Renal Disease (ESRD) Treatment. Douglas Park I, Ltd practices in Odessa, TX. The NPI Number for Douglas Park I, Ltd is 1306820451 and holds a License No. 008017 (Texas).

The current practice location address for Douglas Park I, Ltd is 6005 Eastridge Rd, Odessa, TX and can be reached out via phone at 432-550-6012 and via fax at 432-550-7201.

Location: 6005 Eastridge Rd, Odessa, TX, 79762-5019
institution
Provider Profile Details
NPI Number
1306820451
Provider Name
Douglas Park I, Ltd
Credential
Provider Entity Type
Organization
Address
6005 Eastridge Rd, Odessa, TX, 79762-5019
Phone Number
432-550-6012
Fax Number
432-550-7201
Provider Enumeration Date
12/02/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
HH7000 01 TX BC/BS
institution
Provider Business Practice Location Address Details
Address
6005 Eastridge Rd
City
State
Zip
79762-5019
Phone Number
432-550-6012
Fax Number
432-550-7201
person
Provider Business Mailing Address Details
Address
6005 Eastridge Rd
City
State
Zip
79762-5019
Phone Number
432-550-6012
Fax Number
432-550-7201
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
008017 (Texas)
Definition
Definition to come...
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