Midtown Home Dialysis LLC
NPI #1043820111 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1043820111
- Entity Type
- Organization
- Organization Name
- Midtown Home Dialysis LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Aug 4, 2020
- Last Updated
- Sep 2, 2025
Practice Location
- Address
- 3727 NW 63RD ST STE 320
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73116-1931
- Phone
- (405) 286-0391
Authorized Official
- Name
- LESLIE A WHILES
- Title
- MANAGER MEMBER
- Phone
- (580) 695-1306
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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