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TRC EL PASO LIMITED PARTNERSHIP NPI 1114980927


NPI Information

NPI: 1114980927
Provider Name: TRC EL PASO LIMITED PARTNERSHIP

Doing Business As: LOMA VISTA DIALYSIS CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 45D0914383

Address:
1382 LOMALAND DR
STE A
EL PASO, TX
ZIP 79935
Phone: (915) 591-0834
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TRC EL PASO LIMITED PARTNERSHIP is an end-stage renal disease (esrd) treatment clinic center in El Paso, TX. TRC EL PASO LIMITED PARTNERSHIP NPI is 1114980927. The provider is registered as an organization entity type.
The provider Is Doing Business As Loma Vista Dialysis Center.

The provider's business location address is:

1382 LOMALAND DR
STE A
EL PASO, TX
ZIP 79935
Phone: (915) 591-0834
Fax: (915) 591-5029

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 45D0914383 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2006 and was last updated on 6/27/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment000264TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1087914001MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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