Trc - Four Corners Dialysis Clinics LLC

NPI #1063477727 in Farmington, New Mexico

Provider Information

NPI Number
1063477727
Entity Type
Organization
Organization Name
Trc - Four Corners Dialysis Clinics LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Apr 18, 2006
Last Updated
Dec 16, 2025

Practice Location

Address
801 W BROADWAY
ZIP Code
87401-5650
Phone
(505) 325-2827

Authorized Official

Name
SAMUEL T WEY
Title
VP LICENSURE & CERTIFICATION
Phone
(615) 341-6641

Specialties & Taxonomy Codes

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

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