Organization
ANGELO KIDNEY CONNECTION HOME THERAPIES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE LORRAINE BAUMGARTNER (ADMINISTRATOR)
(325) 450-4445
Entity
Organization
Contact information
Practice address
3626 50TH ST, LUBBOCK, TX 79413-3994
(325) 617-2469
Mailing address
PO BOX 61074, SAN ANGELO, TX 76906-1074
(325) 617-2496
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
07/27/2020
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