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Owasso Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Owasso, Oklahoma
NPI 1568761401

Owasso 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. Owasso Dialysis Llc practices in Owasso, OK. The NPI Number for Owasso Dialysis Llc is 1568761401 and holds a License No. (Oklahoma).

The current practice location address for Owasso Dialysis Llc is 9521 N Owasso Expy, Owasso, OK and can be reached out via phone at 918-376-9479 and via fax at 918-376-2781.

Location: 9521 N Owasso Expy, Owasso, OK, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568761401
Provider Name
Owasso Dialysis Llc
Credential
Provider Entity Type
Organization
Address
9521 N Owasso Expy, Owasso, OK, 37027-7569
Phone Number
918-376-9479
Fax Number
918-376-2781
Provider Enumeration Date
03/17/2011
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
200489660A 05 OK
institution
Provider Business Practice Location Address Details
Address
9521 N Owasso Expy
City
Owasso
State
Oklahoma
Zip
74055-5414
Phone Number
918-376-9479
Fax Number
918-376-2781
person
Provider Business Mailing Address Details
Address
9521 N Owasso Expy
City
Owasso
State
Oklahoma
Zip
74055-5414
Phone Number
918-376-9479
Fax Number
918-376-2781
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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