Organization
UHA DIALYSIS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN GUTIERREZ (PROJECT MANAGER)
(817) 846-2316
Entity
Organization
Contact information
Practice address
8951 COLLIN MCKINNEY PKWY STE 503, MCKINNEY, TX 75070-8483
(513) 310-6535
Mailing address
2215 LORING DR, ALLEN, TX 75013-5840
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
01
—
803226921
CERTIFICATE OF FILING
TX
01
—
N5987
TEXAS MEDICAL BOARD LICENSE
TX
Enumeration date
03/07/2019
Last updated
03/11/2019
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