Dialysis Clinic INC

NPI #1679819684 in Cuba, New Mexico

Provider Information

NPI Number: 1679819684
Entity Type: Organization
Organization Name: Dialysis Clinic INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Dec 19, 2012
Last Updated: Oct 5, 2023

Practice Location

Address: 14 EAST CORDOVA AVE
City: Cuba
State: New Mexico
ZIP Code: 87103
Phone: (575) 289-0090

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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