Organization
MONCRIEF DIALYSIS CENTER-TOTAL RENAL CARE LIMITED PARTNERSHIP
Active
Other names
Moncrief Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
800 W 34TH ST, STE 101, AUSTIN, TX 78705
(512) 485-7872
(512) 485-3992
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6764
(337) 816-9998
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
006241
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094316901
—
TX
Enumeration date
04/11/2006
Last updated
08/28/2019
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