FLANDRAU DIALYSIS LLC NPI 1265821425

NPI Information

FLANDRAU DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Plano, TX. FLANDRAU DIALYSIS, LLC NPI is 1265821425. The provider is registered as an organization entity type.
The provider Is Doing Business As Plano On Custer Dialysis.

The provider's business location address is:

1301 CUSTER RD
STE 524
PLANO, TX
ZIP 75075-400
Phone: (972) 578-7047
Fax: (972) 424-7204

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 45D2093858 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2015 and was last updated on 6/20/2022.

Taxonomy Codes

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Other Identifiers

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