| NPI | 1982210050 |
|---|---|
| Doing Business As | PREMIER DIALYSIS - STEPHENVILLE |
| Entity Type | Organization |
| Authorized Contact | THOMAS L WEINBERG Chairman 214-736-2730 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2023-07-24 |