NPI: 1982648267 · TEXARKANA, AR 71854 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 06/16/2006
| Authorized Official | JOHNSON, TIMICA (CREDENTIALING / BILLING SPECIALIST) |
| NPI Enumeration Date | 06/16/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 141 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | Unlisted dialysis procedure, inpatient or outpatient | 141 | 13 | $2K |