Organization
TEXAS CITY DIALYSIS L.L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO ASSOUAD M.D (MEDICAL DIRECTOR)
(409) 948-3900
Entity
Organization
Contact information
Practice address
3557 PALMER HWY, TEXAS CITY, TX 77590-6513
(409) 948-9300
(409) 947-9405
Mailing address
3557 PALMER HWY, TEXAS CITY, TX 77590-6513
(409) 948-9300
(409) 947-9405
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
—
094304501
—
TX
Enumeration date
11/30/2006
Last updated
01/08/2010
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