Organization · Type 2 NPI
Southern Oklahoma Renal Services, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Ardmore, OK
NPI number
1891083929
Active
Practice location
1107 Walnut Dr
Ardmore, OK 73401-2354
Fax (580) 223-2561
Mailing address
1107 Walnut Drive
Ardmore, OK 73401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 20569 (OK) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Another provider at this address
Other end-stage renal disease (esrd) treatment clinic/center providers in Ardmore
- Nna of Oklahoma LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Ardmore, OK NPI 1386756252
- Jacinto Dialysis LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Ardmore, OK NPI 1457697575
- Ardmore Dialysis Ranch, IncEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Ardmore, OK NPI 1992037626
About NPI 1891083929
Southern Oklahoma Renal Services, LLC's National Provider Identifier is 1891083929, issued on Jul 11, 2011. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Ardmore, OK. The record was last updated on Jul 11, 2011.