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Organization
CENTRAL TEXAS KIDNEY ASSOC PA
Active
Organization
CENTRAL TEXAS KIDNEY ASSOC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA S ASHLEY ETC (LICENSED DIETITIAN)
(512) 451-5800
Entity
Organization
Contact information
Practice address
408 W 45TH ST, AUSTIN, TX 78751-3014
(512) 451-5800
(512) 459-1399
Mailing address
408 W 45TH ST, AUSTIN, TX 78751-3014
(512) 451-5800
(512) 459-1399
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
DT06727
TX
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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