Organization
LEWISVILLE LD, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
Liberty Dialysis of South Lewisville
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
MARK R FAWCETT (SVP AND TREASURER)
(781) 699-9000
Entity
Organization
Contact information
Practice address
101 E SW PKWY, STE 110, LEWISVILLE, TX 75067-8791
(469) 549-7424
(469) 549-4740
Mailing address
101 E SW PKWY, STE 110, LEWISVILLE, TX 75067-8791
(469) 549-7424
(469) 549-4740
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2013
Last updated
12/20/2016
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