KIDNEY TREATMENT CENTER SAN ANTONIO INC
Ambulatory Health at Castroville Rd, San Antonio, TX

License number
Texas 000043
Category
Ambulatory Health
Type
End-Stage Renal Disease (ESRD) Treatment
Owner
Name: MRS. JESSICA J MEDOLA
Title: SUPERVISOR
Phone: (210) 692-1515
Address
Address
803 Castroville Rd STE 401, San Antonio, TX 78237
National Provider ID: 1225032253
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KIDNEY TREATMENT CENTER, SAN ANTONIO, INC

3939 Medical Dr STE 110, San Antonio, TX 78229

Industry:
Kidney Dialysis Centers
Registration:
Jul 18, 1988
Phone:
(210) 692-1515 (Phone)
State ID:
0108340500
Business type:
Domestic For-Profit Corporation
President, Director:
Bruce A Brockway (President, Director), 7940 Floyd Curl #750, San Antonio, TX 78229
TIN:
17425168105

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