Kidney Treatment Center Northwest P A in San Antonio - End-stage Renal Disease (esrd) Treatment
Kidney Treatment Center Northwest P A - NPI 1568466506
Kidney Treatment Center Northwest P A is a End-stage Renal Disease (esrd) Treatment in San Antonio, Texas. Kidney Treatment Center Northwest P A practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Kidney Treatment Center Northwest P A is 1568466506. The last update date is 2012-01-25.
Kidney Treatment Center Northwest P A's current location address is 3939 Medical Dr, San Antonio, Texas. You can contact this provider via phone number 2106923075 and fax number 2106920187. The mailing address for Kidney Treatment Center Northwest P A is 3939 Medical Dr, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kidney Treatment Center Northwest P A |
|---|---|
| Address | 3939 Medical Dr, San Antonio, Texas |
| Phone Number | 2106923075 |
| Fax Number | 2106920187 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SUPERVISOR |
|---|---|
| Authorized Official Name | Medola J Jessica |
| Telephone Number | 2106921515 |
NPI Number Detail
| NPI Number | 1568466506 |
|---|---|
| Provider Enumeration Date | 2005-06-08 |
| Last Updated Date | 2012-01-25 |
Provider Mailing Address Detail
| Address | 3939 Medical Dr |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 7822922920 |
| Phone Number | 2106923075 |
| Fax Number | 2106920187 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 7316 |
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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 |
|---|---|---|---|
| 1452880-02 | TX | -- | |
| 0943250-02 | TX | -- | |
| HH6407 | TX | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Kidney Treatment Center Northwest P A by the Centers for Medicare & Medicaid Services?
The Kidney Treatment Center Northwest P A has been assigned the NPI (National Provider Identifier) 1568466506. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kidney Treatment Center Northwest P A's physical address?
The Kidney Treatment Center Northwest P A is physically located at 3939 Medical Dr, in the city of San Antonio, TX, with the postal code 7822922920.
What is Kidney Treatment Center Northwest P A's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kidney Treatment Center Northwest P A is End-stage Renal Disease (esrd) Treatment, and the taxonomy classification code that categorizes this area of expertise is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1568466506 to Kidney Treatment Center Northwest P A?
The Kidney Treatment Center Northwest P A received its 1568466506 assignment from the Centers for Medicare & Medicaid Services on 2005-06-08.
When was the information regarding Kidney Treatment Center Northwest P A most recently updated?
The details pertaining to the Kidney Treatment Center Northwest P A, including its address, specialty, and other relevant information, were last refreshed on 2012-01-25.