PONDEROSA PINE, LLC

LONE TREE, CO
NPI1407525447
Entity TypeOrganization
Authorized ContactTHOMAS L WEINBERG
Chairman
214-736-2700
Organization Subpart ?Yes
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2021-09-13
Last Update Date2021-09-13
Business Address
PONDEROSA PINE, LLC
9777 S YOSEMITE ST STE 130AB&C
LONE TREE, CO 80124-3191
Phone number: 720-798-3714
Mailing Address
PONDEROSA PINE, LLC
PO BOX 251549
PLANO, TX 75025-1500
Phone number: 214-736-2700