Organization · Type 2 NPI

Gertrude Dialysis, LLC

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

NPI number 1801206883 Active

Practice location

402 N Carrier Pkwy, Ste 102
Grand Prairie, TX 75050-5426

Call (972) 264-2660 Map

Fax (972) 264-2687

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: 1801206883
Entity type: Organization (Type 2)
Issued: Apr 30, 2014
Last updated: Mar 12, 2025
Status: Active

Other names

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Dialysis Care of Grand Prairie · doing business as
Dialysis Care of Grand Prairie · doing business as

Authorized official

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

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About NPI 1801206883

Gertrude Dialysis, LLC's National Provider Identifier is 1801206883, issued on Apr 30, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Grand Prairie, TX. The record was last updated on Mar 12, 2025.