Organization
WHARTON 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
205 N ALABAMA RD, WHARTON, TX 77488-5203
(979) 532-0012
(979) 532-1007
Mailing address
205 N ALABAMA RD, WHARTON, TX 77488-5203
(979) 532-0012
(979) 532-1007
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
—
346439801
—
TX
Enumeration date
08/14/2014
Last updated
01/13/2023
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