SOULFULLY RITE DIALYSIS CORPORATION NPI 1124961297

NPI Information

  • NPI: 1124961297
  • Provider Name: SOULFULLY RITE DIALYSIS CORPORATION
  • Classification: Specialist/Technologist, Other - 246ZN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 2823 CITRON GARDEN
    CONVERSE, TX
    ZIP 78109
  • Phone: (972) 850-2416

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NPI Details

SOULFULLY RITE DIALYSIS CORPORATION is a nephrology specialist technologist other in Converse, TX. SOULFULLY RITE DIALYSIS CORPORATION NPI is 1124961297. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2823 CITRON GARDEN
CONVERSE, TX
ZIP 78109
Phone: (972) 850-2416

The provider's authorized official is Lakesha Sullivan .
The authorized official title is Ceo and has the following contact phone number (816) 703-7607.

The enumeration date for this NPI number is 4/13/2026 and was last updated on 4/13/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246ZN0300XSpecialist/Technologist, OtherNephrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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