Organization
GILWARDS DIALYSIS LLC
Active
Other names
Southside Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
6018 PARKWAY DR, CORPUS CHRISTI, TX 78414-2488
(361) 994-5262
(361) 994-5232
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3973893-01
—
TX
Enumeration date
06/14/2017
Last updated
04/30/2024
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