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TAUM DIALYSIS LLC NPI 1144614942


NPI Information

NPI: 1144614942
Provider Name: TAUM DIALYSIS LLC

Doing Business As: WEST ARLINGTON DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 45D2107040

Address:
1001 W ARBROOK BLVD
STE 101 & 111
ARLINGTON, TX
ZIP 76015
Phone: (817) 466-7403
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TAUM DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Arlington, TX. TAUM DIALYSIS LLC NPI is 1144614942. The provider is registered as an organization entity type.
The provider Is Doing Business As West Arlington Dialysis.

The provider's business location address is:

1001 W ARBROOK BLVD
STE 101 & 111
ARLINGTON, TX
ZIP 76015-222
Phone: (817) 466-7403
Fax: (817) 466-7408

The provider's authorized official is Samuel Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 45D2107040 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2015 and was last updated on 12/4/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13813883-01MEDICAIDTEXAS

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: 4/28/2024

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