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
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) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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