Memorial Medical Center-San Augustine
NPI #1811151046 in San Augustine, Texas
Provider Information
- NPI Number
- 1811151046
- Entity Type
- Organization
- Organization Name
- Memorial Medical Center-San Augustine
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEMORIAL MEDICAL CENTER-SAN AUGUSTINE
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jul 16, 2008
- Last Updated
- May 6, 2009
Practice Location
- Address
- 403 NORTH MILAM STREET
- City
- San Augustine
- State
- Texas
- ZIP Code
- 75972-2121
- Phone
- (936) 275-3446
Authorized Official
- Name
- MR. RICHARD AHRENS
- Title
- CFO
- Phone
- (936) 634-8111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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