Lewisville LD, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

LEWISVILLE LD, LLC

Practice address

101 E SW Pkwy
Ste 110
Lewisville, TX 75067-8791

Phone

(469) 549-7424

Fax

(469) 549-4740

NPI assigned

Oct 16, 2013

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark R Fawcett

Title

SVP and Treasurer

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• Liberty Dialysis of South Lewisville Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• National Medical Care, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bristol, TN
  • NPI 1477570117

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1760810378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E SW PKWY",
            "address_2": "STE 110",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678791",
            "telephone_number": "469-549-7424",
            "fax_number": "469-549-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E SW PKWY",
            "address_2": "STE 110",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678791",
            "telephone_number": "469-549-7424",
            "fax_number": "469-549-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISVILLE LD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2013-10-16",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SVP AND TREASURER",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Dialysis of South Lewisville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lewisville Dental Associates, PLLC
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• Lewisville Internal Medicine Associates PLLC
• Lewisville Isd
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• Lewisville Pulmonary Associates, PA
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• Lewisville Surgery Center, LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lewisville, TX
• Providers in Lewisville, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.