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RENAL CENTER OF PORT ARTHUR LLC NPI 1659640142


NPI Information

NPI: 1659640142
Provider Name: RENAL CENTER OF PORT ARTHUR, LLC

Doing Business As: RENAL CENTER OF PORT ARTHUR

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3730 DRYDEN RD
PORT ARTHUR, TX
ZIP 77642
Phone: (409) 983-4110
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RENAL CENTER OF PORT ARTHUR, LLC is an end-stage renal disease (esrd) treatment clinic center in Port Arthur, TX. RENAL CENTER OF PORT ARTHUR, LLC NPI is 1659640142. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Center Of Port Arthur.

The provider's business location address is:

3730 DRYDEN RD
PORT ARTHUR, TX
ZIP 77642-764
Phone: (409) 983-4110
Fax: (409) 983-4118

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp Licensure&certification and has the following contact phone number (615) 341-6641.

The enumeration date for this NPI number is 12/29/2011 and was last updated on 4/17/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1306907201MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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