Russell Dialysis LLC

NPI #1730466673 in Wylie, Texas

Provider Information

NPI Number
1730466673
Entity Type
Organization
Organization Name
Russell Dialysis LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Nov 7, 2011
Last Updated
Mar 20, 2024

Practice Location

Address
941 S WESTGATE WAY
City
Wylie
State
Texas
ZIP Code
75098-4947
Phone
(972) 429-4315

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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