Organization · Type 2 NPI

Nicona Dialysis LLC

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

NPI number 1376100818 Active

Practice location

9010 Brodie Lane, Bldg A
Austin, TX 78748-5184

Call (512) 280-6505 Map

Fax (512) 280-6866

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: 1376100818
Entity type: Organization (Type 2)
Issued: May 21, 2019
Last updated: Feb 20, 2025
Status: Active

Other names

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Brodie Lane Dialysis · doing business as
Brodie Lane Dialysis · doing business as

Authorized official

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

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About NPI 1376100818

Nicona Dialysis LLC's National Provider Identifier is 1376100818, issued on May 21, 2019. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Austin, TX. The record was last updated on Feb 20, 2025.