Premier Statewide Dialysis INC
NPI #1982641692 in Duncanville, Texas
Provider Information
- NPI Number
- 1982641692
- Entity Type
- Organization
- Organization Name
- Premier Statewide Dialysis INC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jun 1, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1406 S CLARK RD
- City
- Duncanville
- State
- Texas
- ZIP Code
- 75137
- Phone
- (972) 709-1950
Authorized Official
- Name
- DAVID CLARK
- Title
- A R SUPERVISOR
- Phone
- (936) 891-5572
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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