Organization
SOULFULLY RITE DIALYSIS CORPORATION
Active
Parent organization
SOULFULLY RITE DIALYSIS CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOULFULLY RITE DIALYSIS CORPORATION
Authorized official
LAKESHA SULLIVAN (CEO)
(816) 703-7607
Entity
Organization
Contact information
Practice address
2823 CITRON GARDEN, CONVERSE, TX 78109
(972) 850-2416
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(972) 850-2416
Taxonomy
Speciality
Code
Description
License number
State
246ZN0300X
Nephrology Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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