Dva Renal Healthcare INC
NPI #1750340816 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1750340816
- Entity Type
- Organization
- Organization Name
- Dva Renal Healthcare INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Mar 18, 2006
- Last Updated
- Jul 11, 2007
Practice Location
- Address
- 4015 COMMON ST
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70607-2942
- Phone
- (337) 562-2022
Authorized Official
- Name
- THOMAS O USILTON JR.
- Title
- GROUP VICE PRESIDENT
- Phone
- (770) 541-7922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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