Organization · Type 2 NPI
Russell Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Wylie, TX
NPI number
1730466673
Active
Practice location
941 S Westgate Way
Wylie, TX 75098-4947
Fax (972) 429-8954
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...
Other end-stage renal disease (esrd) treatment clinic/center providers in Wylie
About NPI 1730466673
Russell Dialysis LLC's National Provider Identifier is 1730466673, issued on Nov 7, 2011. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Wylie, TX. The record was last updated on Mar 20, 2024.