Organization
SCOTT & WHITE MEMORIAL HOSPITAL
Active
Parent organization
SCOTT & WHITE MEMORIAL HOSPITAL
Other names
Baylor Scott & White Dialysis Center - Round Rock
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCOTT & WHITE MEMORIAL HOSPITAL
Authorized official
CHRISTOPHER L OLSEN (CFO)
(254) 724-4556
Entity
Organization
Contact information
Practice address
2120 N MAYS ROCK CREEK PLZ#230, ROUND ROCK, TX 78664-2192
(512) 238-2900
(512) 238-2914
Mailing address
PO BOX 847790, DALLAS, TX 75284-7790
(254) 215-9522
(254) 215-9524
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
007219
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1127383-03
—
TX
01
—
HH6381
BLUE CROSS
TX
Enumeration date
04/19/2006
Last updated
08/01/2024
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