Aqua Dialysis San Augustine, LLC
NPI #1649879230 in San Augustine, Texas
Provider Information
- NPI Number
- 1649879230
- Entity Type
- Organization
- Organization Name
- Aqua Dialysis San Augustine, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- AQUA DIALYSIS LLP
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Oct 23, 2020
- Last Updated
- Sep 10, 2024
Practice Location
- Address
- 403 N MILAM ST
- City
- San Augustine
- State
- Texas
- ZIP Code
- 75972-2228
- Phone
- (936) 275-3600
Authorized Official
- Name
- RUPAL PATEL, MD
- Title
- CEO
- Phone
- (832) 721-2927
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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