Jacinto Dialysis LLC

NPI #1457697575 in Ardmore, Oklahoma

Provider Information

NPI Number
1457697575
Entity Type
Organization
Organization Name
Jacinto Dialysis LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Dec 18, 2012
Last Updated
Jul 17, 2025

Practice Location

Address
2617 CROSSROADS DR
ZIP Code
73401-2574
Phone
(580) 490-9844

Authorized Official

Name
SAMUEL 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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