Organization
DALLAS FORT WORTH NEPHROLOGY II LLC
Active
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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