NPI | 1043756810 |
---|---|
Doing Business As | PREMIER DIALYSIS - WEST GRAND PRAIRIE |
Entity Type | Organization |
Authorized Contact | THOMAS L WEINBERG Chairman/Authorized Official 214-736-2700 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2017-01-17 |
Last Update Date | 2023-07-24 |