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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.

physician-icon Basic Information

Practice Location 1126 Slide Rd, Suite 4b, Lubbock, TX 79416-5402, US
Practice Location Phone806-771-0906
Practice Location Fax806-771-0896
Legal Business NameTHE KIDNEY CARE CENTER, LLC
NPI ?1518233212
Entity TypeOrganization
Enumeration Date ? Mar 27, 2012
Last Update Date ? Mar 24, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of The Kidney Care Center, Llc

SpecialtySpecializationLicenseLicense State
Clinic/CenterEnd-Stage Renal Disease (ESRD) Treatment F7299Texas

legacy-id-icon Legacy Provider IDs of The Kidney Care Center, Llc

Provider IdIssuer StateIssuer TypeIssuer
672714TexasOtherCMS CERTIFICATION NUMBER (CCN)

official-icon 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/PositionPRESIDENT
Authorized Official Phone Number806-793-8447