Organization · Type 2 NPI

Tumalo Dialysis LLC

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

NPI number 1699046771 Active

Practice location

3518 Knickerbocker Rd
San Angelo, TX 76904-7611

Call (325) 949-6035 Map

Fax (325) 949-6791

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...

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NPI record

NPI: 1699046771
Entity type: Organization (Type 2)
Issued: Jan 20, 2012
Last updated: Apr 17, 2024
Status: Active

Other names

<unavail>
San Angelo Dialysis · doing business as
San Angelo Dialysis · doing business as

Authorized official

Samuel T Wey
VP Licensure&certification
(615) 341-6641

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About NPI 1699046771

Tumalo Dialysis LLC's National Provider Identifier is 1699046771, issued on Jan 20, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in San Angelo, TX. The record was last updated on Apr 17, 2024.