Provider Demographics
NPI:1114953783
Name:DIALYSIS ACCESS CENTER, LLP
Entity type:Organization
Organization Name:DIALYSIS ACCESS CENTER, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:CHIJIOKE
Authorized Official - Middle Name:
Authorized Official - Last Name:OGBU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-739-0309
Mailing Address - Street 1:PO BOX 931715
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31193-1715
Mailing Address - Country:US
Mailing Address - Phone:610-644-8900
Mailing Address - Fax:484-924-0053
Practice Address - Street 1:5617 TIMBERGATE DR STE 100
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-3193
Practice Address - Country:US
Practice Address - Phone:361-880-8322
Practice Address - Fax:484-412-6963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty