Dialysis Clinic Inc.

NPI #1205869690 in Acoma, New Mexico

Provider Information

NPI Number: 1205869690
Entity Type: Organization
Organization Name: Dialysis Clinic Inc.
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Jul 8, 2006
Last Updated: Oct 4, 2023

Practice Location

Address: 80A VETERANS BLVD
City: Acoma
State: New Mexico
ZIP Code: 87034
Phone: (505) 552-7292

Authorized Official

Name: MR. DONOVAN SCHULTZ
Title: PRESIDENT
Phone: (615) 327-3061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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