Organization
NRA-PORT LAVACA, TEXAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH A CASHIA (CHIEF MANAGER)
(615) 771-4400
Entity
Organization
Contact information
Practice address
1300 N VIRGINIA ST, SUITE 102, PORT LAVACA, TX 77979-2509
(361) 551-2566
Mailing address
730 COOL SPRINGS BLVD, SUITE 100, FRANKLIN, TN 37067-7289
(615) 771-4400
(615) 771-4401
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
PENDING
TX
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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