Provider Demographics
NPI:1467097949
Name:FRESENIUS MEDICAL CARE SAN ANTONIO, LLC
Entity Type:Organization
Organization Name:FRESENIUS MEDICAL CARE SAN ANTONIO, LLC
Other - Org Name:FRESENIUS KIDNEY CARE SCHERTZ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:1787 FM 3009
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-2214
Mailing Address - Country:US
Mailing Address - Phone:210-890-6900
Mailing Address - Fax:210-890-6910
Practice Address - Street 1:1787 FM 3009
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-2214
Practice Address - Country:US
Practice Address - Phone:210-890-6900
Practice Address - Fax:210-890-6910
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-08
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment