Phoenix Dialysis LLC
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Weimar, TX
NPI 1710422845 · NPPES record last updated Mar 1, 2018
Key facts
- NPI
- 1710422845
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- License
- 110457 (TX)
- Legal business name
- PHOENIX DIALYSIS LLC
- Practice address
- 407 E. South St.
Weimar, TX 78962 - Phone
- (979) 985-3700
- Fax
- (979) 859-7154
- NPI assigned
- Dec 28, 2016
- Organization subpart
- No
Authorized official
- Name
- Autumn Dawson
- Title
- Ceo
- Phone
- (979) 985-3700
National Provider Directory
Locations
407 E South St
Weimar, TX 78962
Phone (979) 725-2266
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 110457 | TX | Yes |
Addresses
Primary practice location
407 E. South St.
Weimar, TX 78962
Mailing address
PO Box 127
Fresno, TX 77545-0127
Other providers in Weimar, TX
- Melissa Maxwell
- Measurable Changes LLC
- Leah Rey Mikesky
- Brandie Montgomery
- Estela Mota
- Sochanet,Inc
- The Pharmacy Shop of Weimar Inc
- The Pharmacy Shop of Weimar Inc
- Curtis Martin Van Houten
- Charles Bancroft Vretis
All providers in Weimar, TX · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.