West Texas Renal Care Center Inc in San Angelo - End-stage Renal Disease (esrd) Treatment
West Texas Renal Care Center Inc - NPI 1609860485
West Texas Renal Care Center Inc is a End-stage Renal Disease (esrd) Treatment in San Angelo, Texas. West Texas Renal Care Center Inc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for West Texas Renal Care Center Inc is 1609860485. The last update date is 2012-02-03.
West Texas Renal Care Center Inc's current location address is 3501 Executive Dr, San Angelo, Texas. You can contact this provider via phone number 3259495081. The mailing address for West Texas Renal Care Center Inc is 3501 Executive Dr, San Angelo, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Texas Renal Care Center Inc |
|---|---|
| Address | 3501 Executive Dr, San Angelo, Texas |
| Phone Number | 3259495081 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Montoya F Steve |
| Credentials | M.D. |
| Telephone Number | 3256536773 |
NPI Number Detail
| NPI Number | 1609860485 |
|---|---|
| Provider Enumeration Date | 2005-09-07 |
| Last Updated Date | 2012-02-03 |
Provider Mailing Address Detail
| Address | 3501 Executive Dr |
|---|---|
| City | San Angelo |
| State | Texas (TX) |
| Post Code | 769046883 |
| Phone Number | 3259495081 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 6902 |
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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 |
|---|---|---|---|
| 94270801 | TX | -- | |
| HH6151 | TX | BCBS |
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What is the unique 10-digit identifier code issued to West Texas Renal Care Center Inc by the Centers for Medicare & Medicaid Services?
The West Texas Renal Care Center Inc has been assigned the NPI (National Provider Identifier) 1609860485 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where West Texas Renal Care Center Inc is located?
The West Texas Renal Care Center Inc is situated at the following address: 3501 Executive Dr, San Angelo, TX, 769046883.
What is the West Texas Renal Care Center Inc's specialty and taxonomy code?
The West Texas Renal Care Center Inc's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
On what date was the 1609860485 assigned to West Texas Renal Care Center Inc?
The West Texas Renal Care Center Inc was issued its 1609860485 on 2005-09-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to West Texas Renal Care Center Inc last refreshed?
The information related to the West Texas Renal Care Center Inc, including its address, specialty, and other relevant details, was last updated on 2012-02-03.