Organization
RENAL CENTER OF NORTH DALLAS, LLC
Active
Other names
Renal Center of North Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
6190 LYNDON B JOHNSON FWY, STE 701, DALLAS, TX 75240-6383
(972) 789-0192
(972) 789-0198
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
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
—
3447971-01
—
TX
Enumeration date
08/30/2012
Last updated
01/26/2026
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