Desoto Regional Dialysis Center LLC

NPI #1003227075 in Desoto, Texas

Provider Information

NPI Number
1003227075
Entity Type
Organization
Organization Name
Desoto Regional Dialysis Center LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
May 13, 2014
Last Updated
Jan 13, 2023

Practice Location

Address
2651 BOLTON BOONE DR
Address 2
BUILDING B
City
Desoto
State
Texas
ZIP Code
75115-2011
Phone
(972) 780-5991

Authorized Official

Name
SARA ANNE BRADY
Title
CHIEF NURSING OFFICER
Phone
(208) 371-7878

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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