Organization · Type 2 NPI

Toltec Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Conway, AR

NPI number 1073010518 Active

Practice location

2630 Donaghey Ave
Conway, AR 72032-2308

Call (501) 504-2474 Map

Fax (501) 504-2611

Mailing address

5200 Virginia Way, L& C Dept
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: 1073010518
Entity type: Organization (Type 2)
Issued: Apr 11, 2018
Last updated: Oct 9, 2023
Status: Active

Other names

<unavail>
College City Dialysis · doing business as
College City Dialysis · doing business as

Authorized official

Samuel T Wey
SR Director Licensure&certification
(615) 341-6641

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About NPI 1073010518

Toltec Dialysis LLC's National Provider Identifier is 1073010518, issued on Apr 11, 2018. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Conway, AR. The record was last updated on Oct 9, 2023.