Organization
GREAT DIALYSIS LLC
Active
Other names
McKinney Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
4717 MEDICAL CENTER DR, MCKINNEY, TX 75069-1870
(972) 542-0495
(972) 542-9676
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
110064
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284096901
—
TX
Enumeration date
08/02/2010
Last updated
03/19/2025
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