Douglas Park I Ltd in Midland - End-stage Renal Disease (esrd) Treatment
Douglas Park I Ltd - NPI 1053395103
Douglas Park I Ltd is a End-stage Renal Disease (esrd) Treatment in Midland, 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 1053395103. The last update date is 2008-02-14.
Douglas Park I Ltd's current location address is 705 W Wadley Ave, Midland, Texas. You can contact this provider via phone number 4326871201 and fax number 4326875008. The mailing address for Douglas Park I Ltd is 705 W Wadley Ave, Midland, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Douglas Park I Ltd |
|---|---|
| Address | 705 W Wadley Ave, Midland, Texas |
| Phone Number | 4326871201 |
| Fax Number | 4326875008 |
| 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 | 1053395103 |
|---|---|
| Provider Enumeration Date | 2005-12-02 |
| Last Updated Date | 2008-02-14 |
Provider Mailing Address Detail
| Address | 705 W Wadley Ave |
|---|---|
| City | Midland |
| State | Texas (TX) |
| Post Code | 797055351 |
| Phone Number | 4326871201 |
| Fax Number | 4326875008 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 6898 |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HH6176 | 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) 1053395103, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Douglas Park I Ltd's facilities are geographically located?
The facilities of Douglas Park I Ltd are physically situated at the following location: 705 W Wadley Ave, Midland, TX, 797055351.
What is Douglas Park I Ltd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Douglas Park I Ltd is End-stage Renal Disease (esrd) Treatment, and the taxonomy code that classifies this field of practice is 261Qe0700X.
On what date did Douglas Park I Ltd receive its 1053395103 assignment from the Centers for Medicare & Medicaid Services?
The Douglas Park I Ltd was assigned its 1053395103 on 2005-12-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Douglas Park I Ltd, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Douglas Park I Ltd, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-02-14.