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NPI Code Detail

MEDICARE: FRESENIUS MEDICAL CARE CENTRAL SAN ANTONIO, LLC

MEDICARE: FRESENIUS MEDICAL CARE CENTRAL SAN ANTONIO, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number : 1457018590
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRESENIUS MEDICAL CARE CENTRAL SAN ANTONIO, LLC
Provider Business Mailing Address
First Line : 915 S LAREDO ST STE 100
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78204-3211
Country : US
Telephone Number : 210-798-1955
Fax Number :
Provider Business Practice Location Address
First Line : 915 S LAREDO ST STE 100
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78204-3211
Country : US
Telephone Number : 210-798-1955
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : BARRY L BLANTON
Credential :
Telephone Number : 781-699-9000
Provider Enumeration Date : 11/23/2021
Last Update Date : 11/23/2021

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Directions to “FRESENIUS MEDICAL CARE CENTRAL SAN ANTONIO, LLC ” Practice Location

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