Organization
GRAPEVINE KIDNEY CENTER LLC
Active
Other names
Grapevine Regional Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
1270 WILLIAM D TATE AVE, SUITE 300, GRAPEVINE, TX 76051-4098
(817) 421-6326
(817) 421-6827
Mailing address
1270 WILLIAM D TATE AVE, SUITE 300, GRAPEVINE, TX 76051-4098
(817) 421-6326
(817) 421-6827
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2016
Last updated
01/10/2023
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