Organization
TOTAL RENAL CARE INC
Active
Other names
DT4 Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
4800 W SAN ANTONIO ST STE 103, BROKEN ARROW, OK 74012-6127
(918) 307-1320
(918) 252-9032
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4268
(877) 238-0567
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2014
Last updated
08/05/2020
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