Organization
NEW CENTURY DIALYSIS CENTER OF JASPER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHUNG-MAN KURT LEE M.D. (MANAGER)
(409) 384-2711
Entity
Organization
Contact information
Practice address
2014 S WHEELER ST, SUITE 300, JASPER, TX 75951-5624
(409) 384-2711
Mailing address
PO BOX 21026, BEAUMONT, TX 77720-1026
(409) 384-2711
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
—
207029401
—
TX
Enumeration date
02/19/2008
Last updated
10/10/2014
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