TERRELL DIALYSIS CENTER LLC NPI 1588931075

NPI Information

NPI: 1588931075
Provider Name: TERRELL DIALYSIS CENTER, LLC

Doing Business As: SOUTH OAK CLIFF DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
655 WEST ILLINOIS
SUITE 740
DALLAS, TX
ZIP 75224
Phone: (214) 943-7065
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TERRELL DIALYSIS CENTER, LLC is an end-stage renal disease (esrd) treatment clinic center in Dallas, TX. TERRELL DIALYSIS CENTER, LLC NPI is 1588931075. The provider is registered as an organization entity type.
The provider Is Doing Business As South Oak Cliff Dialysis Center.

The provider's business location address is:

655 WEST ILLINOIS
SUITE 740
DALLAS, TX
ZIP 75224-834
Phone: (214) 943-7065
Fax: (214) 943-8152

The provider's authorized official is Mark R. Fawcett .
The authorized official title is Treasurer and has the following contact phone number (781) 699-9000.

The enumeration date for this NPI number is 11/28/2011 and was last updated on 11/28/2011.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	452687	MEDICARE OSCAR/CERTIFICATION

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: 11/14/2023

NPI Synchronization or Removal

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