Organization
REGIONAL DIALYSIS CENTER OF MESQUITE 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
1650 REPUBLIC PKWY, SUITE 100, MESQUITE, TX 75150-6920
(972) 613-4715
(972) 613-4719
Mailing address
1650 REPUBLIC PKWY, SUITE 100, MESQUITE, TX 75150-6920
(972) 613-4715
(972) 613-4719
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
—
365049101
—
TX
Enumeration date
06/11/2014
Last updated
01/10/2023
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