Organization
TOTAL RENAL CARE TEXAS LIMITED PARTNERSHIP
Active
Other names
Kilgore Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GEIGER (VICE PRESIDENT)
(615) 341-6641
Entity
Organization
Contact information
Practice address
2403 STATE HIGHWAY 42 N, KILGORE, TX 75662-5554
(903) 988-8200
(903) 988-8208
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4224
(800) 293-4707
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
008034
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679615-02
—
TX
Enumeration date
04/11/2006
Last updated
11/01/2023
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