Organization
GRAND PRAIRIE DIALYSIS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
550 S CARRIER PKWY, SUITE 450, GRAND PRAIRIE, TX 75051-1500
(972) 237-2400
(972) 263-3149
Mailing address
550 S CARRIER PKWY, SUITE 450, GRAND PRAIRIE, TX 75051-1500
(972) 237-2400
(972) 263-3149
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
—
315954301
—
TX
Enumeration date
09/21/2012
Last updated
01/13/2023
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