Organization
AQUA DIALYSIS FRANK AVENUE, LLC
Active
Parent organization
AQUA DIALYSIS LLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
AQUA DIALYSIS LLP
Authorized official
ALICIA CARTER (REVENUE CYCLE DIRECTOR)
(682) 429-4508
Entity
Organization
Contact information
Practice address
1520 W FRANK AVE, LUFKIN, TX 75904-3314
(936) 238-3583
Mailing address
1245 SOUTHRIDGE CT STE 102, HURST, TX 76053-4390
(682) 429-4508
(346) 214-6368
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
09/10/2024
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