Kidney Treatment Center San Antonio Inc

LBN: Kidney Treatment Center San Antonio Inc

Kidney Treatment Center San Antonio Inc is an health care organization with primary practice located at 803 Castroville Rd Ste 401, San Antonio TX 78237-3148. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Kidney Treatment Center San Antonio Inc can be contacted via phone (210) 435-4725, or through Medola, Jessica J via phone (210) 692-1515.

Contact Information

Primary practice address

803 Castroville Rd Ste 401 San Antonio TX 78237-3148

Phone: (210) 435-4725

Fax: (210) 433-8826

Website:

Map and Directions

Authorized official contact:

Name: Medola, Jessica J

Phone: (210) 692-1515

Health care specialties

Specialty	Code	License #	State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment	261QE0700X	000043	Texas

Profile Details

NPI number	1225032253
LBN Legal business name	Kidney Treatment Center San Antonio Inc
DBA Doing business as
Authorized official	Medola, Jessica J
Entity	Organization
Organization subpart ¹	No
Enumeration date	Jun 8th, 2005
Last updated	Apr 7th, 2010 - about 14 years ago

¹ Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

State	Type	Number	Issuer
All States	NPI	1225032253	NPPES
Texas	MEDICAID	0878423-01
Texas	Other	HH6150
Texas	MEDICAID	0210833-01

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