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County Of La Salle
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Cotulla, Texas
NPI 1508558651

County Of La Salle is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in San Jose, TX and is specialized in End-Stage Renal Disease (ESRD) Treatment. County Of La Salle practices in Cotulla, TX. The NPI Number for County Of La Salle is 1508558651 and holds a License No. (Texas).

The current practice location address for County Of La Salle is 627 N Baylor St, Cotulla, TX and can be reached out via phone at 830-483-5260 and via fax at 830-483-5865.

Location: 627 N Baylor St, Cotulla, TX, 95128-2424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508558651
Provider Name
County Of La Salle
Credential
Provider Entity Type
Organization
Address
627 N Baylor St, Cotulla, TX, 95128-2424
Phone Number
830-483-5260
Fax Number
830-483-5865
Provider Enumeration Date
05/25/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110680 01 TX TX HHSC STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
627 N Baylor St
City
Cotulla
State
Texas
Zip
78014
Phone Number
830-483-5260
Fax Number
830-483-5865
person
Provider Business Mailing Address Details
Address
627 N Baylor St
City
Cotulla
State
Texas
Zip
78014
Phone Number
830-483-5260
Fax Number
830-483-5865
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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