Organization
IRVING REGIONAL DIALYSIS CENTER LLC
Active
Other names
Irving Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
2535 W AIRPORT FWY, IRVING, TX 75062-6018
(978) 922-3080
(978) 922-5253
Mailing address
2535 W AIRPORT FWY, IRVING, TX 75062-6018
(972) 252-1656
(972) 252-1671
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
—
363824901
—
TX
Enumeration date
08/21/2014
Last updated
01/14/2023
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