Kidney Treatment Center East P a

NPI #1699779611 in San Antonio, Texas

Provider Information

NPI Number
1699779611
Entity Type
Organization
Organization Name
Kidney Treatment Center East P a
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jun 8, 2005
Last Updated
Feb 24, 2012

Practice Location

Address
1608 S NEW BRAUNFELS AVE
State
Texas
ZIP Code
78210-2253
Phone
(210) 531-9522

Authorized Official

Name
MRS. JESSICA J MEDOLA
Title
SUPERVISOR
Phone
(210) 692-1515

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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