Organization
THE KIDNEY CARE CENTER, LLC
Active
Other names
The Kidney Care Center, LLC - Lubbock, The Kidney Care Center, LLC-Lubbock
Organization subpart
No
Provider details
NPI number
Authorized official
SHONTAL CARRUTH (BILLING MANAGER)
(806) 771-0906
Entity
Organization
Contact information
Practice address
3702 INTERSTATE 27, LUBBOCK, TX 79412
(806) 429-1054
(806) 256-7077
Mailing address
1126 SLIDE RD UNIT 4B, LUBBOCK, TX 79416-5402
(806) 771-0906
(806) 771-0896
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
08/16/2022
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