NPI | 1467852186 |
---|---|
Doing Business As | PREMIER DIALYSIS - GASTON AVE |
Entity Type | Organization |
Authorized Contact | THOMAS L. WEINBERG President & Chairman 214-736-2730 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2014-08-29 |
Last Update Date | 2023-07-24 |