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Organization

NEW CENTURY DIALYSIS CENTER OF JASPER, L.L.C.

Active
Find providers by NPI
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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