The Kidney Care Center, Llc
The Kidney Care Center, Llc is a health care provider in Lubbock, TX. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 1126 Slide Rd, Suite 4b, Lubbock, TX 79416-5402, US |
|Practice Location Phone||806-771-0906|
|Practice Location Fax||806-771-0896|
|Legal Business Name||THE KIDNEY CARE CENTER, LLC|
|Enumeration Date ? ||Mar 27, 2012|
|Last Update Date ? ||Mar 24, 2015|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of The Kidney Care Center, Llc
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||End-Stage Renal Disease (ESRD) Treatment ||F7299||Texas|
Legacy Provider IDs of The Kidney Care Center, Llc
|Provider Id||Issuer State||Issuer Type||Issuer|
|672714||Texas||Other||CMS CERTIFICATION NUMBER (CCN)|
Authorized Official of The Kidney Care Center, Llc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the The Kidney Care Center, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Clarence J. Wheeler (M.D.)|
|Authorized Official Title/Position||PRESIDENT|
|Authorized Official Phone Number||806-793-8447|