Organization
KERRICHER DIALYSIS, LLC
Active
Other names
Cowtown West Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
2400 LANDS END BLVD, STE 131, FORT WORTH, TX 76116-2170
(817) 570-0916
(817) 377-0279
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 341-6764
(833) 781-6999
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
—
366415301
—
TX
Enumeration date
09/02/2014
Last updated
04/30/2020
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