Ponderosa Dialysis Llc

NPI 1275876633 - Clinic/Center - 261QE0700X

NPI Details
NPI 1275876633
Enumeration Date 04/03/2013
Last Updated 06/29/2015
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JAMES K JAMES
Position CHIEF ACCOUNTING OFFICER
Phone (281) 337-2175
Fax (281) 337-2386
Practice Location
3290 GULF FWY S
STE H
DICKINSON TX, 77539-4541, US
Phone (281) 337-2175
Fax (281) 337-2386
Business Location
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD TN, 37027-7569, US
Phone (615) 341-6472
Fax (866) 241-3490
Toxanomy
Taxonomy Code 261QE0700X
License State
License Number
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According to our database, Ponderosa Dialysis Llc NPI is 1275876633, taxonomy code is 261QE0700X Ponderosa Dialysis Llc physically located at 3290 Gulf Fwy S, Dickinson TX, 77539-4541. NPI Number 1033115704 has the healthcare provider type.

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1275876633 NPI number is provided on an as is basis without warranty of any kind. 1275876633 is maintained by the National Plan & Provider Enumeration System. The contents of Ponderosa Dialysis Llc are for informational purposes only.