Total Renal Care INC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Texarkana, TX. Organization (NPI-2).
NPI number1649549643
StatusActive
Last updated in NPPESApr 17, 2025
Details
- NPI
- 1649549643
- Entity type
- Organization (NPI-2)
- Legal business name
- Total Renal Care INC
- Organization subpart
- No
- Enumeration date
- Dec 20, 2011
- Certification date
- Apr 17, 2025
- Last updated
- Apr 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 110117 | TX | Yes |
Other names
- Texarkana Regional Dialysis (Doing Business As)
Practice location
5502 Medical Parkway DrTexarkana, TX 75503-4623
Phone 903-832-9771 · Fax 903-791-1774
Mailing address
5200 Virginia WayL&C Dept
Brentwood, TN 37027-7569
Authorized official
Samuel T Wey
Vp, Licensure & Certification
6153416641
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