institution
Renal Treatment Centers-southeast, Lp
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lake Jackson, Texas
NPI 1770990749

Renal Treatment Centers-southeast, Lp is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, TX and is specialized in End-Stage Renal Disease (ESRD) Treatment. Renal Treatment Centers-southeast, Lp practices in Lake Jackson, TX. The NPI Number for Renal Treatment Centers-southeast, Lp is 1770990749 and holds a License No. 110303 (Texas).

The current practice location address for Renal Treatment Centers-southeast, Lp is 450 This Way St, Lake Jackson, TX and can be reached out via phone at 979-299-6565 and via fax at 979-299-6568.

Location: 450 This Way St, Lake Jackson, TX, 37027-7569
institution
Provider Profile Details
NPI Number
1770990749
Provider Name
Renal Treatment Centers-southeast, Lp
Credential
Provider Entity Type
Organization
Address
450 This Way St, Lake Jackson, TX, 37027-7569
Phone Number
979-299-6565
Fax Number
979-299-6568
Provider Enumeration Date
07/22/2014
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3454654-01 01 TX MEDICAID
institution
Provider Business Practice Location Address Details
Address
450 This Way St
City
State
Zip
77566-5152
Phone Number
979-299-6565
Fax Number
979-299-6568
person
Provider Business Mailing Address Details
Address
450 This Way St
City
State
Zip
77566-5152
Phone Number
979-299-6565
Fax Number
979-299-6568
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
110303 (Texas)
Definition
Definition to come...
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