Organization
DALLAS FORT WORTH NEPHROLOGY II LLC
Active
Other names
DaVita Central Dallas Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HILGER (CHIEF ACCOUNTING OFFICER)
(253) 382-1919
Entity
Organization
Contact information
Practice address
9500 N CENTRAL EXPY, DALLAS, TX 75231-5002
(214) 739-3004
(214) 739-3002
Mailing address
5200 VIRGINIA WAY, STE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4550
(866) 500-8578
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
008735
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210947201
—
TX
Enumeration date
04/24/2008
Last updated
01/04/2011
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