Premier Statewide Dialysis Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

008102 Issued in TX

Legal business name

PREMIER STATEWIDE DIALYSIS INC

Practice address

1406 S Clark Rd
Duncanville, TX 75137

Phone

(972) 709-1950

Fax

(972) 709-1949

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

David Clark

Title

A R Supervisor

Phone

(936) 891-5572

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982641692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 S CLARK RD",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "75137",
            "telephone_number": "972-709-1950",
            "fax_number": "972-709-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 S CLARK RD",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "75137",
            "telephone_number": "972-709-1950",
            "fax_number": "972-709-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER STATEWIDE DIALYSIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "A R SUPERVISOR",
        "authorized_official_telephone_number": "936-891-5572"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "008102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "HH6483",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Positive Touch Therapy LLC
• Anija Poudel
• Prapanit Prapanont
• Premeire Home Health Services
• Premier Dialysis Inc
• Pressler Physical Therapy Clinic
• Dale R Pressler, P.T.
• Susan S Pressler, P.T.
• Kizzy Price, RN, MSN, NP-C
• Prime Diagnostic Imaging of Duncanville LLC

• Clinic/Center in Duncanville, TX
• Providers in Duncanville, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.