Organization
ATHIO DIALYSIS, LLC
Active
Other names
Plano Tollway Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (SR DIRECTOR LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
6101 WINDHAVEN PKWY, STE 165, PLANO, TX 75093-8197
(972) 473-7891
(972) 473-0150
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, 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
—
3758617-02
—
TX
Enumeration date
02/13/2015
Last updated
09/11/2023
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