DVA HEALTHCARE RENAL CARE INC NPI 1376506428

NPI Information

DVA HEALTHCARE RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in San Antonio, TX. DVA HEALTHCARE RENAL CARE INC NPI is 1376506428. The provider is registered as an organization entity type.
The provider Is Doing Business As San Antonio West Dialysis.

The provider's business location address is:

4530 CALLAGHAN RD
SAN ANTONIO, TX
ZIP 78228-617
Phone: (210) 431-9048
Fax: (210) 431-8934

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 45D0922002 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 2/18/2021.

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:

Other Identifiers

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