Organization
SNG - WESTOVER HILLS DIALYSIS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PONNIAH S. SANKARAPANDIAN MD (MANAGER)
(817) 725-7900
Entity
Organization
Contact information
Practice address
9443 DUGAS DR, SAN ANTONIO, TX 78245
(682) 253-5300
Mailing address
1000 W CANNON ST, FORT WORTH, TX 76104-3029
(586) 682-5300
(844) 448-5486
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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