GRAPEVINE KIDNEY CENTER LLC NPI 1235596446

NPI Information

  • NPI: 1235596446
  • Provider Name: GRAPEVINE KIDNEY CENTER LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: GRAPEVINE REGIONAL DIALYSIS CENTER
  • Address: 1270 WILLIAM D TATE AVE
    SUITE 300
    GRAPEVINE, TX
    ZIP 76051
  • Phone: (817) 421-6326

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NPI Details

GRAPEVINE KIDNEY CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Grapevine, TX. GRAPEVINE KIDNEY CENTER LLC NPI is 1235596446. The provider is registered as an organization entity type.
The provider Is Doing Business As Grapevine Regional Dialysis Center.

The provider's business location address is:

1270 WILLIAM D TATE AVE
SUITE 300
GRAPEVINE, TX
ZIP 76051-098
Phone: (817) 421-6326
Fax: (817) 421-6827

The provider's authorized official is Sara Anne Brady .
The authorized official title is Chief Nursing Officer and has the following contact phone number (208) 371-7878.

The enumeration date for this NPI number is 1/19/2016 and was last updated on 1/10/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

What is NPI?

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This page was last updated on: 3/30/2025

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