PREMIER DIALYSIS INC NPI 1740248624

NPI Information

NPI: 1740248624
Provider Name: PREMIER DIALYSIS INC
Classification: Durable Medical Equipment & Medical Supplies - 332BD1200X
Entity Type: Organization

Specialization: Dialysis Equipment & Supplies

Address:
1414 W. WHEATLAND ROAD
SUITE 102
DUNCANVILLE, TX
ZIP 75116
Phone: (972) 709-1950
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PREMIER DIALYSIS INC is a dialysis equipment and supplies durable medical equipment medical supplies in Duncanville, TX. PREMIER DIALYSIS INC NPI is 1740248624. The provider is registered as an organization entity type.

The provider's business location address is:

1414 W. WHEATLAND ROAD
SUITE 102
DUNCANVILLE, TX
ZIP 75116
Phone: (972) 709-1950
Fax: (972) 709-1949

The provider's authorized official is Dennis Cleveland Jones .
The authorized official title is President and has the following contact phone number (972) 709-1950.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 6/26/2009.

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	332BD1200X	Durable Medical Equipment & Medical Supplies	Dialysis Equipment & Supplies	0068138	TEXAS	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	531717	OTHER	TEXAS	BCBS
2	160043901	MEDICAID	TEXAS
3	=========	OTHER	TEXAS	FEDERAL ID
4	HH6484	OTHER	TEXAS	BCBS
5	4797520001	MEDICARE NSC	TEXAS

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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