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NPI Code Detail

MEDICARE: MSC HEALTH TEXAS LLC

MEDICARE: MSC HEALTH TEXAS 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
1133VN1005XRenal Nutrition Registered Dietitian
2163WD1100XPeritoneal Dialysis Registered Nurse
3163WH0500XHemodialysis Registered Nurse
42472R0900XRenal Dialysis Technician
5104100000XSocial Worker
6261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number : 1386336162
Entity Type Code : Organization
Provider Name (Legal Business Name) : MSC HEALTH TEXAS LLC
Provider Business Mailing Address
First Line : 1305 E HOUSTON ST STE 403
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78205-2034
Country : US
Telephone Number : 210-775-1600
Fax Number : 210-742-1534
Provider Business Practice Location Address
First Line : 1516 RANCH ROAD 620 S STE 400
Second Line :
City : LAKEWAY
State : TX
Zip : 78734-6295
Country : US
Telephone Number : 512-254-8282
Fax Number : 512-254-8254
Authorized Official
Title or Position : CEO
Name : ANDRES GUTIERREZ
Credential :
Telephone Number : 210-775-1600
Provider Enumeration Date : 05/22/2023
Last Update Date : 10/15/2024

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Directions to “MSC HEALTH TEXAS LLC ” Practice Location

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