Organization · Type 2 NPI
SNG - Abita Square Dialysis Center LP
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Abita Springs, LA
NPI number
1588917702
Active
Practice location
21501 Highway 36
Abita Springs, LA 70420-3907
Fax (985) 898-3848
Mailing address
1000 W Cannon St
Fort Worth, TX 76104-3029
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...
About NPI 1588917702
SNG - Abita Square Dialysis Center LP's National Provider Identifier is 1588917702, issued on Oct 25, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Abita Springs, LA. The record was last updated on Jul 21, 2022.