Total Renal Care INC
NPI #1447653084 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1447653084
- Entity Type
- Organization
- Organization Name
- Total Renal Care INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Sep 26, 2014
- Last Updated
- Aug 5, 2020
Practice Location
- Address
- 4800 W SAN ANTONIO ST STE 103
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-6127
- Phone
- (918) 307-1320
Authorized Official
- Name
- JOHN D WINSTEL
- Title
- CHIEF ACCOUNTING OFFICER
- Phone
- (253) 733-4501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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