Organization Name: | AUSTIN DIALYSIS CENTERS LP |
NPI Number: | 1174628531 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES K HILER (CHIE ACCOUNTING OFFICER) |
Mailing Address: | 1250 Dacy Ln Kyle |
State: | TX US |
Postal Code: | 786404921 |
Phone Number: | 5122682523 |
Fax Number: | 5122681542 |
NPI Enumeration Date: | 09/13/2006 |
NPI Last Update Date: | 06/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | 008226 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |