Organization
TOLOWA DIALYSIS LLC
Active
Other names
Garland Shiloh 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
800 N SHILOH RD, GARLAND, TX 75042-5716
(972) 276-7961
(972) 205-0191
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
—
3764227-02
—
TX
Enumeration date
08/10/2015
Last updated
03/19/2025
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