Organization
EASTLAND DIALYSIS CENTER, LLC
Active
Other names
Eastland Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
TED D MATTHEWS (CEO)
(254) 631-5342
Entity
Organization
Contact information
Practice address
2300 COMMERCE STREET, EASTLAND, TX 76448
(254) 629-3600
(254) 629-8907
Mailing address
304 S. DAUGHERTY STREET, EASTLAND, TX 76448
(254) 631-5342
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
—
—
2472R0900X
Renal Dialysis Technician
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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