| NPI | 1861015067 |
|---|---|
| Doing Business As | PREMIER DIALYSIS - SOUTH ARLINGTON |
| Entity Type | Organization |
| Authorized Contact | THOMAS L. WEINBERG Chairman/President 214-736-2732 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2023-07-24 |