Premier Statewide Dialysis Inc

LBN: Premier Statewide Dialysis Inc
Premier Statewide Dialysis Inc is an health care organization with primary practice located at 1406 S Clark Rd , Duncanville TX 75137. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Premier Statewide Dialysis Inc can be contacted via phone (972) 709-1950, or through Clark, David via phone (936) 891-5572.

Contact Information

Primary practice address
1406 S Clark Rd Duncanville TX 75137
Phone: (972) 709-1950
Fax: (972) 709-1949
Website:
Map and Directions
Authorized official contact:
Name: Clark, David
Phone: (936) 891-5572

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 008102 Texas

Profile Details

NPI number 1982641692
LBN Legal business name Premier Statewide Dialysis Inc
DBA Doing business as
Authorized official Clark, David
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2006
Last updated Aug 22nd, 2020 - about 6 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 1982641692 NPPES
Texas Other HH6483 BC BS

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