UT SOUTHWESTERN DVA HEALTHCARE LLP NPI 1649234212

NPI Information

UT SOUTHWESTERN DVA HEALTHCARE LLP is an end-stage renal disease (esrd) treatment clinic center in Dallas, TX. UT SOUTHWESTERN DVA HEALTHCARE LLP NPI is 1649234212. The provider is registered as an organization entity type.
The provider Is Doing Business As Ut Southwestern Oakcliff Dialysis.

The provider's business location address is:

655 W ILLINOIS AVE
STE 701
DALLAS, TX
ZIP 75224-814
Phone: (469) 895-5907
Fax: (469) 895-5931

The provider's authorized official is John D 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 45D0938650 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2006 and was last updated on 8/20/2021.

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:

Other Identifiers

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