LIBERTY DIALYSIS - DUNCANVILLE LLC NPI 1639360209

NPI Information

NPI: 1639360209
Provider Name: LIBERTY DIALYSIS - DUNCANVILLE LLC

Doing Business As: PREMIER DIALYSIS - DUNCANVILLE

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1038 US HIGHWAY 67
DUNCANVILLE, TX
ZIP 75137
Phone: (214) 302-0238
Get Directions

LIBERTY DIALYSIS - DUNCANVILLE LLC is an end-stage renal disease (esrd) treatment clinic center in Duncanville, TX. LIBERTY DIALYSIS - DUNCANVILLE LLC NPI is 1639360209. The provider is registered as an organization entity type.
The provider Is Doing Business As Premier Dialysis - Duncanville.

The provider's business location address is:

1038 US HIGHWAY 67
DUNCANVILLE, TX
ZIP 75137-704
Phone: (214) 302-0238

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is President & Chairman and has the following contact phone number (214) 736-2730.

The CLIA number assigned to this NPI record is 45D1079633 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/7/2007 and was last updated on 7/24/2023.

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

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: 5/5/2024

NPI Synchronization or Removal

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