Trc - Four Corners Dialysis Clinics LLC

NPI #1306499405 in Farmington, New Mexico

Provider Information

NPI Number
1306499405
Entity Type
Organization
Organization Name
Trc - Four Corners Dialysis Clinics LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jul 18, 2019
Last Updated
Oct 21, 2025

Practice Location

Address
4525 ROWE AVE
ZIP Code
87402-3013
Phone
(505) 326-9102

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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