Organization
SATELLITE HEALTHCARE CENTRAL STATES LLC
Active
Parent organization
SATELLITE HEALTHCARE INC
Other names
Satellite Healthcare Round Rock
Organization subpart
Yes
Provider details
NPI number
Legal business name
SATELLITE HEALTHCARE INC
Authorized official
SUSAN L DEL BENE (SECRETARY/CFO)
(650) 404-3618
Entity
Organization
Contact information
Practice address
16010 PARK VALLEY DR, STE 100, ROUND ROCK, TX 78681-3575
(512) 275-0100
(512) 388-6025
Mailing address
300 SANTANA ROW, STE 300, SAN JOSE, CA 95128-2423
(512) 275-0100
(650) 625-6007
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
008035
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008459
STATE OF TEXAS
TX
05
—
185969604
—
TX
Enumeration date
10/04/2006
Last updated
12/30/2016
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