Space City Dialysis Center LLC
NPI #1699051037 in Texas City, Texas
Provider Information
- NPI Number
- 1699051037
- Entity Type
- Organization
- Organization Name
- Space City Dialysis Center LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Oct 31, 2011
- Last Updated
- Jan 10, 2023
Practice Location
- Address
- 6518 MEMORIAL DR
- City
- Texas City
- State
- Texas
- ZIP Code
- 77591-4056
- Phone
- (409) 965-0318
Authorized Official
- Name
- SARA ANNE BRADY
- Title
- CHIEF NURSING OFFICER
- Phone
- (208) 371-7878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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