Organization · Type 2 NPI

Covenant Health System

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

NPI number 1457401036 Active

Practice location

3615 19th St
Lubbock, TX 79410-1203

Fax (806) 723-6180

Mailing address

PO Box 1201
Lubbock, TX 79408-1201

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700X000465 (TX)

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

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About NPI 1457401036

Covenant Health System's National Provider Identifier is 1457401036, issued on Jan 12, 2007. 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 Aug 4, 2011.