Organization
JASPER-ARA DIALYSIS L.L.P.
Active
Other names
Kidney Center of Jasper
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
930 MARVIN HANCOCK DR, JASPER, TX 75951-4752
(409) 384-4200
(409) 384-4255
Mailing address
930 MARVIN HANCOCK DR, JASPER, TX 75951-4752
(409) 384-4200
(409) 384-4255
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
—
145502402
—
TX
Enumeration date
08/31/2006
Last updated
01/10/2023
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