| NPI | 1710322466 | 
|---|---|
| Doing Business As | PREMIER DIALYSIS - MANSFIELD | 
| Doing Business As | LIBERTY DIALYSIS - MANSFIELD | 
| Entity Type | Organization | 
| Authorized Contact | THOMAS L. WEINBERG Chairman & President 214-736-2730 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 
| Enumeration Date | 2013-05-08 | 
| Last Update Date | 2023-07-24 |