Organization · Type 2 NPI

Bannon Dialysis, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Mckinney, TX

NPI number 1063804987 Active

Practice location

5329 W University Dr
Mckinney, TX 75071-8186

Call (214) 491-4263 Map

Fax (214) 491-4984

Mailing address

5200 Virginia Way, L&c Department
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1063804987
Entity type: Organization (Type 2)
Issued: Mar 2, 2015
Last updated: Feb 16, 2026
Status: Active

Other names

<unavail>
McKinney On 380 Dialysis · doing business as
McKinney On 380 Dialysis · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

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About NPI 1063804987

Bannon Dialysis, LLC's National Provider Identifier is 1063804987, issued on Mar 2, 2015. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Mckinney, TX. The record was last updated on Feb 16, 2026.