Organization · Type 2 NPI

Manchester Dialysis, LLC

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

NPI number 1184030751 Active

Practice location

3845 E Loop 820 S
Fort Worth, TX 76119-4337

Call (817) 496-9035 Map

Fax (817) 446-0012

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: 1184030751
Entity type: Organization (Type 2)
Issued: Jul 3, 2014
Last updated: Sep 1, 2022
Status: Active

Other names

<unavail>
Southeast Fort Worth Dialysis · doing business as
Southeast Fort Worth Dialysis · doing business as

Authorized official

John Winstel
Chief Accounting Officer
(253) 733-4501

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About NPI 1184030751

Manchester Dialysis, LLC's National Provider Identifier is 1184030751, issued on Jul 3, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 1, 2022.