Organization
TWINSTAR DIALYSIS LLC
Active
Other names
Coryell Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH POSTON (SECRETARY)
(254) 865-8251
Entity
Organization
Contact information
Practice address
224 MEMORIAL DR, GATESVILLE, TX 76528-1071
(254) 404-2090
(254) 404-2479
Mailing address
224 MEMORIAL DR, GATESVILLE, TX 76528-1071
(254) 404-2090
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
01
—
110349
STATE LICENSE
TX
05
—
366300701
—
TX
Enumeration date
04/27/2015
Last updated
03/17/2023
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