Organization · Type 2 NPI
Southwood Park Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Prairieville, LA
NPI number
1043676802
Active
Practice location
17123 Commerce Centre Dr
Prairieville, LA 70769-3481
Fax (225) 877-2002
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569
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...
4 other providers at this address
- Centerwell Senior Primary Care (la) PCInternal Medicine Physician Prairieville, LA NPI 1518737766
- Allison Dee Parkman, MDFamily Medicine Physician Prairieville, LA NPI 1700968054
- Daneeka A. Chastang, NPNurse Practitioner Prairieville, LA NPI 1295050953
- Reginald J. Ross, MDInternal Medicine Physician Prairieville, LA NPI 1720178569
Other end-stage renal disease (esrd) treatment clinic/center providers in Prairieville
About NPI 1043676802
Southwood Park Dialysis LLC's National Provider Identifier is 1043676802, issued on Jan 11, 2016. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Prairieville, LA. The record was last updated on Sep 14, 2022.