Organization
KINKAID DIALYSIS LLC
Active
Organization
KINKAID DIALYSIS LLC
Active
Other names
LaMarque Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
7236 MEDICAL CENTER DR, TEXAS CITY, TX 77591-3036
(615) 928-3583
(800) 335-3051
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 341-6764
(833) 781-6999
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
—
3960221-01
—
TX
Enumeration date
11/16/2017
Last updated
02/18/2021
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