Organization
SOUTH PRICE DIALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOGA ANANDASIVAM M.D. (MEDICAL DIRECTOR)
(956) 548-2242
Entity
Organization
Contact information
Practice address
64 S PRICE RD, SUITE B, BROWNSVILLE, TX 78521-2459
(956) 548-2242
(956) 548-2262
Mailing address
64 S PRICE RD, SUITE B, BROWNSVILLE, TX 78521-2459
(956) 548-2242
(956) 548-2262
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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