Organization
THE DIALYSIS COTTAGE LLC
Active
Other names
The Dialysis Cottage
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRISH A WHITE RN, CNN (ADMINISTRATOR)
(940) 612-1642
Entity
Organization
Contact information
Practice address
1902 HOSPITAL BLVD, SUITE D, GAINESVILLE, TX 76240-2007
(940) 612-1642
(940) 612-2360
Mailing address
1902 HOSPITAL BLVD, SUITE D, GAINESVILLE, TX 76240-2007
(940) 612-1642
(940) 612-2360
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
008551
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008551
DSHS
TX
05
—
193949801
—
TX
Enumeration date
08/12/2005
Last updated
01/27/2010
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