Organization · Type 2 NPI
Innovative Dialysis Center of Lubbock, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Lubbock, TX
NPI number
1013306133
Active
Practice location
1826 Parkway Dr
Lubbock, TX 79403-4406
Fax (806) 744-2026
Mailing address
PO Box 844631
Dallas, TX 75284-4631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1013306133
Innovative Dialysis Center of Lubbock, LLC's National Provider Identifier is 1013306133, issued on Jan 13, 2015. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Lubbock, TX. The record was last updated on Jan 13, 2015.