institution
Jacinto Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ardmore, Oklahoma
NPI 1457697575

Jacinto Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, OK and is specialized in End-Stage Renal Disease (ESRD) Treatment. Jacinto Dialysis Llc practices in Ardmore, OK. The NPI Number for Jacinto Dialysis Llc is 1457697575 and holds a License No. (Oklahoma).

The current practice location address for Jacinto Dialysis Llc is 2617 Crossroads Dr, Ardmore, OK and can be reached out via phone at 580-490-9844 and via fax at 580-490-9831.

Location: 2617 Crossroads Dr, Ardmore, OK, 37027-7569
institution
Provider Profile Details
NPI Number
1457697575
Provider Name
Jacinto Dialysis Llc
Credential
Provider Entity Type
Organization
Address
2617 Crossroads Dr, Ardmore, OK, 37027-7569
Phone Number
580-490-9844
Fax Number
580-490-9831
Provider Enumeration Date
12/18/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200519620A 05 OK
institution
Provider Business Practice Location Address Details
Address
2617 Crossroads Dr
City
State
Zip
73401-2574
Phone Number
580-490-9844
Fax Number
580-490-9831
person
Provider Business Mailing Address Details
Address
2617 Crossroads Dr
City
State
Zip
73401-2574
Phone Number
580-490-9844
Fax Number
580-490-9831
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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