Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Fredericksburg Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (VICE PRESIDENT)
(253) 382-1919
Entity
Organization
Contact information
Practice address
402 W WINDCREST ST, FREDERICKSBURG, TX 78624-4465
(830) 997-3134
(830) 990-9252
Mailing address
5200 VIRGINIA WAY, STE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4521
(866) 890-5560
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
006348
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087925601
—
TX
Enumeration date
04/10/2006
Last updated
03/02/2009
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