| NPI | 1770829723 |
|---|---|
| Doing Business As | PREMIER DIALYSIS - WYLIE |
| Entity Type | Organization |
| Authorized Contact | THOMAS L. WEINBERG Chairman And President 214-736-2730 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2023-07-24 |