Organization
TOTAL RENAL CARE TEXAS LIMITED PARTNERSHIP
Active
Other names
Bonham Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER JR. (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
201 W 5TH ST, BONHAM, TX 75418-4302
(903) 583-4700
(903) 583-4772
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6764
(833) 781-6999
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
008243
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176631302
—
TX
Enumeration date
04/10/2006
Last updated
01/21/2019
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