Organization
COMPLETE DIALYSIS CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
607 EAST 7TH STREET, ODESSA, TX 79761-4509
(432) 332-1632
(432) 332-1633
Mailing address
607 EAST 7TH STREET, ODESSA, TX 79761-4509
(432) 332-1632
(432) 332-1633
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343859001
—
TX
Enumeration date
03/29/2014
Last updated
01/13/2023
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