Organization
NORTH AUSTIN DIALYSIS LLC
Active
Other names
Cedar Park Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1720 E WHITESTONE BLVD, CEDAR PARK, TX 78613-7640
(512) 528-8478
(512) 528-8504
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4224
(800) 293-4707
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
—
1929846-01
—
TX
Enumeration date
08/30/2007
Last updated
11/30/2023
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