Organization
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
Active
Parent organization
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
Other names
Henderson Kidney Disease Ctr
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HEALTH SYSTEM OF EAST TEXAS
Authorized official
MR. JOE FREUDENBERGER (CEO)
(936) 634-8111
Entity
Organization
Contact information
Practice address
1201 W FRANK AVE, LUFKIN, TX 75904-3357
(936) 634-8111
(936) 639-7827
Mailing address
PO BOX 1447, HENDERSON KIDNEY DISEASE CTN, LUFKIN, TX 75902
(936) 634-8111
(936) 639-7827
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
000129
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121703605
—
TX
Enumeration date
03/27/2006
Last updated
07/01/2008
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