Organization
FLANDRAU DIALYSIS, LLC
Active
Other names
Plano on Custer 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
1301 CUSTER RD, STE 524, PLANO, TX 75075-9400
(972) 578-7047
(972) 424-7204
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
—
3768509-01
—
TX
Enumeration date
01/12/2015
Last updated
03/27/2026
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