Organization · Type 2 NPI
Elgin Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Colorado City, TX
NPI number
1629339072
Active
Practice location
1546 Chestnut St
Colorado City, TX 79512-3925
Fax (325) 728-9228
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 | 110158 (TX) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Other end-stage renal disease (esrd) treatment clinic/center providers in Colorado City
About NPI 1629339072
Elgin Dialysis LLC's National Provider Identifier is 1629339072, issued on Jun 1, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Colorado City, TX. The record was last updated on Mar 15, 2013.