Organization
BIOTRONICS KIDNEY CENTER OF BEAUMONT INC
Active
Organization
BIOTRONICS KIDNEY CENTER OF BEAUMONT INC
Active
Other names
Biotronics Kidney Center of Beaumont
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN M LEE (TREASURER)
(409) 892-1003
Entity
Organization
Contact information
Practice address
2755 LIBERTY ST, BEAUMONT, TX 77702-1812
(409) 839-8204
(409) 839-8648
Mailing address
PO BOX 7464, BEAUMONT, TX 77726-7464
(409) 892-1003
(409) 892-2655
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
008725
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000HH6135
BLUE CROSS OF TEXAS
TX
05
—
127317906
—
TX
Enumeration date
08/17/2006
Last updated
10/02/2014
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