Organization
PREMIER DIALYSIS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS CLEVELAND JONES (PRESIDENT)
(972) 709-1950
Entity
Organization
Contact information
Practice address
1414 W. WHEATLAND ROAD, SUITE 102, DUNCANVILLE, TX 75116
(972) 709-1950
(972) 709-1949
Mailing address
P.O. BOX 382970, DUNCANVILLE, TX 75138-2970
(972) 709-1950
(972) 709-1949
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
0068138
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160043901
—
TX
01
—
531717
BCBS
TX
01
—
HH6484
BCBS
TX
Enumeration date
05/02/2006
Last updated
06/26/2009
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