Organization
CDI HEALTH PEORIA DIALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERTO PENA LPN (NATIONAL DIR. BUSINESS DEVELOPMENT)
(361) 548-8791
Entity
Organization
Contact information
Practice address
13215 N 94TH DR, PEORIA, AZ 85381-4838
(512) 599-8022
Mailing address
1717 W 6TH ST, AUSTIN, TX 78703-4773
(512) 599-8022
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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