Cleburne Dialysis LLC
NPI #1942554407 in Capitol Heights, Maryland
Provider Information
- NPI Number
- 1942554407
- Entity Type
- Organization
- Organization Name
- Cleburne Dialysis LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Nov 6, 2012
- Last Updated
- Oct 31, 2023
Practice Location
- Address
- 4797 MARLBORO PIKE
- City
- Capitol Heights
- State
- Maryland
- ZIP Code
- 20743-5213
- Phone
- (301) 420-1513
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) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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