Organization
BANNON DIALYSIS, LLC
Active
Other names
McKinney on 380 Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
5329 W UNIVERSITY DR, MCKINNEY, TX 75071-8186
(214) 491-4263
(214) 491-4984
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
—
376690901
—
TX
Enumeration date
03/02/2015
Last updated
02/16/2026
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