Total Renal Care INC

NPI #1043694383 in Idabel, Oklahoma

Provider Information

NPI Number
1043694383
Entity Type
Organization
Organization Name
Total Renal Care INC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jul 16, 2015
Last Updated
Jan 21, 2025

Practice Location

Address
1319 S LYNN LN
City
Idabel
ZIP Code
74745-6845
Phone
(580) 286-1108

Authorized Official

Name
SAMUEL T WEY
Title
VP LICENSURE & CERTIFICATION
Phone
(615) 341-6641

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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