Henderson Kidney Disease Ctr

LBN: Memorial Health System Of East Texas
Henderson Kidney Disease Ctr is an health care organization with primary practice located at 1201 W Frank Ave , Lufkin TX 75904-3357. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Memorial Health System Of East Texas can be contacted via phone (936) 634-8111, or through Freudenberger, Joe via phone (936) 634-8111.

Contact Information

Primary practice address
1201 W Frank Ave Lufkin TX 75904-3357
Phone: (936) 634-8111
Fax: (936) 639-7827
Website:
Map and Directions
Authorized official contact:
Name: Freudenberger, Joe
Phone: (936) 634-8111

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 000129 Texas

Profile Details

NPI number 1437119922
LBN Legal business name Memorial Health System Of East Texas
DBA Doing business as Henderson Kidney Disease Ctr
Authorized official Freudenberger, Joe
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 27th, 2006
Last updated Jul 1st, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437119922 NPPES
Texas MEDICAID 121703605

Popular Providers