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NPI Code Detail

MEDICARE: TOTAL RENAL CARE TEXAS LIMITED PARTNERSHIP

MEDICARE: TOTAL RENAL CARE TEXAS LIMITED PARTNERSHIP
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/Center007958TX

Other Identifiers

General Provider Information

NPI Number : 1265495311
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOTAL RENAL CARE TEXAS LIMITED PARTNERSHIP
Provider Business Mailing Address
First Line : 5200 VIRGINIA WAY
Second Line : L&C DEPARTMENT
City : BRENTWOOD
State : TN
Zip : 37027-7569
Country : US
Telephone Number : 615-341-6764
Fax Number : 833-781-6999
Provider Business Practice Location Address
First Line : 4918 W 34TH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77092-6606
Country : US
Telephone Number : 713-681-3043
Fax Number : 713-812-0467
Authorized Official
Title or Position : CHIEF ACCOUNTING OFFICER
Name : JOHN WINSTEL
Credential :
Telephone Number : 253-733-4501
Provider Enumeration Date : 04/10/2006
Last Update Date : 04/21/2021

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Directions to “TOTAL RENAL CARE TEXAS LIMITED PARTNERSHIP ” Practice Location

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