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NRA-PORT LAVACA TEXAS LLC NPI 1780743906


NPI Information

NPI: 1780743906
Provider Name: NRA-PORT LAVACA, TEXAS, LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1300 N VIRGINIA ST
SUITE 102
PORT LAVACA, TX
ZIP 77979
Phone: (361) 551-2566
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NRA-PORT LAVACA, TEXAS, LLC is an end-stage renal disease (esrd) treatment clinic center in Port Lavaca, TX. NRA-PORT LAVACA, TEXAS, LLC NPI is 1780743906. The provider is registered as an organization entity type.

The provider's business location address is:

1300 N VIRGINIA ST
SUITE 102
PORT LAVACA, TX
ZIP 77979-509
Phone: (361) 551-2566

The provider's authorized official is Joseph A Cashia .
The authorized official title is Chief Manager and has the following contact phone number (615) 771-4400.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 8/22/2020.


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) TreatmentPENDINGTEXASYes

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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