Nacogdoches Dialysis Center Lp, NPI 1023495959
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Nacogdoches, TX, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1023495959 |
| NPI Entity Type | Organization |
| Provider Name | Nacogdoches Dialysis Center Lp |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 3226 N University Dr, Ste 100, Nacogdoches, TX, US |
| Provider Mailing Address | 1000 W Cannon St, Fort Worth, TX, US, 761043029 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Kinam C. Martin |
| Official Position | CHIEF OPERATIONS OFFICER |
| Phone | 817-725-7900 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| Classification | |
| Group | |
| Description | Definition to come... |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 110360 | TX | FACILITY LICENSE | 01 |
| 366218101 | TX | MEDICAID | 05 |
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