Organization
APPLE RENAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHAT OMWENO KIROCHI RN (OWNER)
(817) 449-7705
Entity
Organization
Contact information
Practice address
5784 JILLIAN WAY, GRAND PRAIRIE, TX 75052
(817) 449-7705
Mailing address
5784 JILLIAN WAY, GRAND PRAIRIE, TX 75052-0418
(817) 449-7705
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
846625
TX
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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