Kidney Treatment Center Northwest P a
NPI #1568466506 in San Antonio, Texas
Provider Information
- NPI Number
- 1568466506
- Entity Type
- Organization
- Organization Name
- Kidney Treatment Center Northwest P a
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jun 8, 2005
- Last Updated
- Jan 25, 2012
Practice Location
- Address
- 3939 MEDICAL DR
- Address 2
- STE 110
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78229-2292
- Phone
- (210) 692-3075
Authorized Official
- Name
- MRS. JESSICA J MEDOLA
- Title
- SUPERVISOR
- Phone
- (210) 692-1515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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