Organization
SCOTT AND WHITE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY PERRY RN, CDN (DIALYSIS MANAGER)
(254) 724-6005
Entity
Organization
Contact information
Practice address
2201 S W S YOUNG DR STE 101B, KILLEEN, TX 76543-5316
(254) 501-6471
(254) 501-6480
Mailing address
2201 S W S YOUNG DR STE 101B, KILLEEN, TX 76543-5316
(254) 501-6471
(254) 501-6480
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
DT 80613
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT80613
TEXAS BOARD OF EXAMINERS
TX
Enumeration date
06/10/2013
Last updated
06/11/2013
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