Organization
MATAGORDA DIALYSIS CARE LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
1105 AVENUE H, BAY CITY, TX 77414-3538
(979) 245-0099
(979) 245-6435
Mailing address
1105 AVENUE H, BAY CITY, TX 77414-3538
(979) 245-0099
(979) 245-6435
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335873101
—
TX
Enumeration date
11/05/2013
Last updated
01/11/2023
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