GREATER IRVING II REGIONAL DIALYSIS CENTER LLC NPI 1497128292

NPI Information

GREATER IRVING II REGIONAL DIALYSIS CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Dallas, TX. GREATER IRVING II REGIONAL DIALYSIS CENTER LLC NPI is 1497128292. The provider is registered as an organization entity type.
The provider Is Doing Business As Kessler Park Regional Dialysis Center.

The provider's business location address is:

1070 N WESTMORELAND RD
DALLAS, TX
ZIP 75211-444
Phone: (214) 331-7219
Fax: (214) 331-7220

The provider's authorized official is Shari K Cousins .
The authorized official title is Sr. Vp Of Clinical & Regulatory and has the following contact phone number (978) 922-3080.

The CLIA number assigned to this NPI record is 45D2105924 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2015 and was last updated on 3/16/2020.

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:

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