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NPI Code Detail

MEDICARE: FRESENIUS MEDICAL CARE SAN ANTONIO, LLC

MEDICARE: FRESENIUS MEDICAL CARE 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/CenterTX

General Provider Information

NPI Number : 1821435504
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRESENIUS MEDICAL CARE SAN ANTONIO, LLC
Provider Business Mailing Address
First Line : 11701 TOEPPERWEIN RD
Second Line :
City : LIVE OAK
State : TX
Zip : 78233-3155
Country : US
Telephone Number : 210-655-4005
Fax Number : 210-655-4413
Provider Business Practice Location Address
First Line : 11701 TOEPPERWEIN RD
Second Line :
City : LIVE OAK
State : TX
Zip : 78233-3155
Country : US
Telephone Number : 210-655-4005
Fax Number : 210-655-4413
Authorized Official
Title or Position : VICE PRESIDENT
Name : BARRY L. BLANTON
Credential :
Telephone Number : 781-699-9000
Provider Enumeration Date : 06/04/2013
Last Update Date : 10/18/2023

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

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