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Organization

SANDCASTLE DIALYSIS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY JOSEPHINE GODINICH MD PA (CEO)
(409) 933-0406
Entity
Organization

Contact information

Practice address
8900 EMMETT F LOWRY EXPY, SUITE 201, TEXAS CITY, TX 77591-9119
(409) 933-0406
(409) 933-0503
Mailing address
8900 EMMETT F LOWRY EXPY, SUITE 201, TEXAS CITY, TX 77591-9119
(409) 933-0406
(409) 933-0503

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
006484
TX

Other

Enumeration date
07/12/2006
Last updated
08/22/2020
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