RENAL CENTER OF NORTH DALLAS LLC NPI 1902155328

NPI Information

RENAL CENTER OF NORTH DALLAS, LLC is an end-stage renal disease (esrd) treatment clinic center in Dallas, TX. RENAL CENTER OF NORTH DALLAS, LLC NPI is 1902155328. The provider is registered as an organization entity type.

The provider's business location address is:

6190 LYNDON B JOHNSON FWY STE 701
DALLAS, TX
ZIP 75240-383
Phone: (972) 789-0192
Fax: (972) 789-0198

The provider's authorized official is John 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 45D2052851 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2012 and was last updated on 4/6/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.