Lake Jackson Dialysis And Kidney Center, Ltd, Llp

NPI 1215961545 - Clinic/Center - 261QE0700X

NPI Details
NPI 1215961545
Enumeration Date 07/11/2006
Last Updated 08/10/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL MICHAEL
Position BUSINESS ADMINISTRATOR
Phone (979) 299-6565
Fax (979) 299-6568
Practice Location
450 THIS WAY ST STE A
LAKE JACKSON TX, 77566-5152, US
Phone (979) 299-6565
Fax (979) 299-6568
Business Location
PO BOX 4639
HOUSTON TX, 77210-4639, US
Phone (979) 864-4330
Fax (979) 864-3560
Toxanomy
Taxonomy Code 261QE0700X
License State Texas
License Number 008101
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According to our database, Lake Jackson Dialysis And Kidney Center, Ltd, Llp NPI is 1215961545, taxonomy code is 261QE0700X and license number is 008101, license state is located at Texas. Lake Jackson Dialysis And Kidney Center, Ltd, Llp physically located at 450 This Way St Ste A, Lake Jackson TX, 77566-5152. NPI Number 1033115704 has the healthcare provider type.

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1215961545 NPI number is provided on an as is basis without warranty of any kind. 1215961545 is maintained by the National Plan & Provider Enumeration System. The contents of Lake Jackson Dialysis And Kidney Center, Ltd, Llp are for informational purposes only.