institution
Space City Dialysis Center Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas City, Texas
NPI 1699051037

Space City Dialysis Center Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Texas City, TX and is specialized in End-Stage Renal Disease (ESRD) Treatment. Space City Dialysis Center Llc practices in Texas City, TX. The NPI Number for Space City Dialysis Center Llc is 1699051037 and holds a License No. (Texas).

The current practice location address for Space City Dialysis Center Llc is 6518 Memorial Dr, Texas City, TX and can be reached out via phone at 409-965-0318 and via fax at 409-965-0319.

Location: 6518 Memorial Dr, Texas City, TX, 77591-4056
institution
Provider Profile Details
NPI Number
1699051037
Provider Name
Space City Dialysis Center Llc
Credential
Provider Entity Type
Organization
Address
6518 Memorial Dr, Texas City, TX, 77591-4056
Phone Number
409-965-0318
Fax Number
409-965-0319
Provider Enumeration Date
10/31/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
332410501 05 TX
institution
Provider Business Practice Location Address Details
Address
6518 Memorial Dr
City
State
Zip
77591-4056
Phone Number
409-965-0318
Fax Number
409-965-0319
person
Provider Business Mailing Address Details
Address
6518 Memorial Dr
City
State
Zip
77591-4056
Phone Number
409-965-0318
Fax Number
409-965-0319
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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