NPI | 1720111958 |
---|---|
Doing Business As | LEWISVILLE DIALYSIS |
Entity Type | Organization |
Authorized Contact | BRUCE HILTON BAKER Chief Executive Officer 972-436-7211 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TX 008002) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2020-08-22 |