Renal Center Of Tyler, Lp, Lllp in Tyler - End-stage Renal Disease (esrd) Treatment

Renal Center Of Tyler, Lp, Lllp - NPI 1124043187

Renal Center Of Tyler, Lp, Lllp is a End-stage Renal Disease (esrd) Treatment in Tyler, Texas. Renal Center Of Tyler, Lp, Lllp practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Renal Center Of Tyler, Lp, Lllp is 1124043187. The last update date is 2022-09-26.

Renal Center Of Tyler, Lp, Lllp's current location address is 510 S Southwest Loop 323, Tyler, Texas. You can contact this provider via phone number 9035960102 and fax number 9035969704. The mailing address for Renal Center Of Tyler, Lp, Lllp is 510 S Southwest Loop 323, Tyler, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Renal Center Of Tyler, Lp, Lllp
Address 510 S Southwest Loop 323, Tyler, Texas
Phone Number 9035960102
Fax Number 9035969704
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF ACCO
Authorized Official Name Winstel D John
Telephone Number 2537334501

NPI Number Detail

NPI Number 1124043187
Provider Enumeration Date 2006-07-12
Last Updated Date 2022-09-26

Provider Mailing Address Detail

Address 510 S Southwest Loop 323
City Tyler
State Texas (TX)
Post Code 757027693
Phone Number 9035960102
Fax Number 9035969704

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Licence No 7969
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
1623431-03 TX --

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FAQs about Renal Center Of Tyler, Lp, Lllp

What is the unique 10-digit identifier code assigned to Renal Center Of Tyler, Lp, Lllp by the Centers for Medicare & Medicaid Services?

The Renal Center Of Tyler, Lp, Lllp has been issued the NPI (National Provider Identifier) 1124043187 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Renal Center Of Tyler, Lp, Lllp is located?

The Renal Center Of Tyler, Lp, Lllp is situated at the following address: 510 S Southwest Loop 323, Tyler, TX, 757027693.

What is the Renal Center Of Tyler, Lp, Lllp's area of specialization and corresponding taxonomy classification?

The Renal Center Of Tyler, Lp, Lllp's specialty field is End-stage Renal Disease (esrd) Treatment, and it falls under the taxonomy code 261Qe0700X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1124043187 to Renal Center Of Tyler, Lp, Lllp?

The Centers for Medicare & Medicaid Services originally issued the 1124043187 to Renal Center Of Tyler, Lp, Lllp on 2006-07-12.

As of what date were the details related to Renal Center Of Tyler, Lp, Lllp most recently updated or revised?

The information pertaining to Renal Center Of Tyler, Lp, Lllp, including its address, specialty, and other relevant details, was last updated or revised on 2022-09-26.

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