Organization · Type 2 NPI

Douglas Park I, Ltd

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Odessa, TX

NPI number 1306820451 Active

Practice location

6005 Eastridge Rd
Odessa, TX 79762-5019

Fax (432) 550-7201

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700X008017 (TX)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

5 other providers at this address

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About NPI 1306820451

Douglas Park I, Ltd's National Provider Identifier is 1306820451, issued on Dec 2, 2005. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Odessa, TX. The record was last updated on Aug 22, 2020.