Jackson Meadows Dialysis

LBN: Egonsa Dialysis Llc
Jackson Meadows Dialysis is an health care organization with primary practice located at 2500 S Jackson Rd , Mcallen TX 78503-2081. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Egonsa Dialysis Llc can be contacted via phone (956) 664-1723, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
2500 S Jackson Rd Mcallen TX 78503-2081
Phone: (956) 664-1723
Fax: (956) 664-1734
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1295207660
LBN Legal business name Egonsa Dialysis Llc
DBA Doing business as Jackson Meadows Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2018
Last updated Mar 5th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295207660 NPPES
Texas MEDICAID 4009771-01

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