Organization
CLOUGH DIALYSIS LLC
Active
Other names
Frisco Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
6116 SPORTS VILLAGE RD, FRISCO, TX 75035
(972) 624-7302
(972) 624-7973
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 341-6472
(866) 241-3490
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2015
Last updated
05/18/2022
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