Biotronics Kidney Center of Beaumont, Inc
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Orange, TX
NPI 1003920356 · NPPES record last updated Aug 28, 2012
Key facts
- NPI
- 1003920356
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- License
- 007139 (TX)
- Legal business name
- BIOTRONICS KIDNEY CENTER OF BEAUMONT, INC
- Practice address
- 1301 Martin Luther King Jr Dr #B
Orange, TX 77630-9000 - Phone
- (409) 886-7714
- NPI assigned
- Aug 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Ellen M Lee
- Title
- Treasurer
- Phone
- (409) 892-1003
National Provider Directory
Locations
1301 Martin Luther King Jr Dr
Orange, TX 77630
Phone (409) 886-7714
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 007139 | TX | Yes |
Addresses
Primary practice location
1301 Martin Luther King Jr Dr #B
Orange, TX 77630-9000
Mailing address
PO Box 7464
Beaumont, TX 77726-7464
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000HH069Y | Other | TX | BC BS TEXAS |
| 127317903 | Medicaid | TX | |
| 127317901 | Medicaid | TX |
Other names
- Biotronics Kidney Center of Orange, Inc
Other providers in Orange, TX
- Heather Danielle Beaudoin
- Beltone Hearing Centers
- Ryanne Lunceford Berlin
- Sylvia Dale Bickham
- Bio-Medical Applications of Texas, Inc.
- Josh Bland
- Nicole Block
- Allisha Gayle Skinner Bonneaux
- Malinda Charisse Boudreaux
- Reatha Jeannette Bradberry I
All providers in Orange, TX · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.