Organization · Type 2 NPI

Isd Renal Inc

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

NPI number 1194771675 Active

Practice location

7215 Interstate Highway 30 Ste N
Greenville, TX 75402-7110

Call (903) 455-0041 Map

Fax (903) 455-0220

Mailing address

5200 Virginia Way, Licensure & Certification 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: 1194771675
Entity type: Organization (Type 2)
Issued: May 26, 2006
Last updated: Sep 17, 2025
Status: Active

Other names

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Dialylsis Care of Greenville · doing business as
Dialylsis Care of Greenville · doing business as

Authorized official

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

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194771675

Isd Renal Inc's National Provider Identifier is 1194771675, issued on May 26, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Greenville, TX. The record was last updated on Sep 17, 2025.