Organization
BIOTRONICS KIDNEY CENTER OF BEAUMONT, INC
Active
Organization
BIOTRONICS KIDNEY CENTER OF BEAUMONT, INC
Active
Other names
Biotronics Kidney Center of Orange, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN M LEE (TREASURER)
(409) 892-1003
Entity
Organization
Contact information
Practice address
1301 MARTIN LUTHER KING JR DR #B, ORANGE, TX 77630-9000
(409) 886-7714
Mailing address
PO BOX 7464, BEAUMONT, TX 77726-7464
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
007139
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000HH069Y
BC BS TEXAS
TX
05
—
127317901
—
TX
05
—
127317903
—
TX
Enumeration date
08/17/2006
Last updated
08/28/2012
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