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RCG EAST TEXAS LLP NPI 1386756260


NPI Information

NPI: 1386756260
Provider Name: RCG EAST TEXAS, LLP

Doing Business As: RENAL CARE GROUP JACKSONVILLE

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 45D1010451

Address:
908 E LOOP 456 STE 100
JACKSONVILLE, TX
ZIP 75766
Phone: (903) 589-3828
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RCG EAST TEXAS, LLP is an end-stage renal disease (esrd) treatment clinic center in Jacksonville, TX. RCG EAST TEXAS, LLP NPI is 1386756260. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Care Group Jacksonville.

The provider's business location address is:

908 E LOOP 456 STE 100
JACKSONVILLE, TX
ZIP 75766-495
Phone: (903) 589-3828
Fax: (903) 589-0969

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 45D1010451 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/16/2023.


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

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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