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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