Organization
SANDCASTLE DIALYSIS LLC
Active
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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