| Organization Name: | DVA RENAL HEALTHCARE INC |
| NPI Number: | 1851354682 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES K HILGER (CHIEF ACCOUNTING OFFFICER) |
| Mailing Address: | 4201 Gulf Fwy La Marque |
| State: | TX US |
| Postal Code: | 775683516 |
| Phone Number: | 4099381696 |
| Fax Number: | 4099381679 |
| NPI Enumeration Date: | 04/11/2006 |
| NPI Last Update Date: | 06/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | 008181 |
| 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: | |