Douglas Park I, Ltd in Odessa - End-stage Renal Disease (esrd) Treatment
Douglas Park I, Ltd - NPI 1306820451
Douglas Park I, Ltd is a End-stage Renal Disease (esrd) Treatment in Odessa, Texas. Douglas Park I, Ltd practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Douglas Park I, Ltd is 1306820451. The last update date is 2020-08-22.
Douglas Park I, Ltd's current location address is 6005 Eastridge Rd, Odessa, Texas. You can contact this provider via phone number 4325506012 and fax number 4325507201. The mailing address for Douglas Park I, Ltd is 6005 Eastridge Rd, Odessa, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Douglas Park I, Ltd |
|---|---|
| Address | 6005 Eastridge Rd, Odessa, Texas |
| Phone Number | 4325506012 |
| Fax Number | 4325507201 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Park Douglas |
| Credentials | M.D. |
| Telephone Number | 4326874044 |
NPI Number Detail
| NPI Number | 1306820451 |
|---|---|
| Provider Enumeration Date | 2005-12-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6005 Eastridge Rd |
|---|---|
| City | Odessa |
| State | Texas (TX) |
| Post Code | 797625019 |
| Phone Number | 4325506012 |
| Fax Number | 4325507201 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 8017 |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HH7000 | TX | BC/BS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Douglas Park I, Ltd by the Centers for Medicare & Medicaid Services?
The Douglas Park I, Ltd has been issued the NPI (National Provider Identifier) 1306820451, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Douglas Park I, Ltd's facilities are situated?
The facilities of Douglas Park I, Ltd are physically located at the following address: 6005 Eastridge Rd, Odessa, TX, 797625019.
What is Douglas Park I, Ltd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Douglas Park I, Ltd is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy classification code for this specialized field is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306820451 to Douglas Park I, Ltd?
The Centers for Medicare & Medicaid Services originally issued the 1306820451 to Douglas Park I, Ltd on 2005-12-02.
As of what date were the details pertaining to Douglas Park I, Ltd last refreshed?
The information related to the Douglas Park I, Ltd, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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