| Premier Statewide Dialysis Inc | |
|
1406 S Clark Rd Duncanville TX 75137 | |
| (972) 709-1950 | |
| (972) 709-1949 |
| Full Name | Premier Statewide Dialysis Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 1406 S Clark Rd, Duncanville, Texas |
| Authorized Official Name and Position | David Clark (A R SUPERVISOR) |
| Authorized Official Contact | 9368915572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Statewide Dialysis Inc 1406 S Clark Rd Duncanville TX 75137 Ph: (972) 709-1950 | Premier Statewide Dialysis Inc 1406 S Clark Rd Duncanville TX 75137 Ph: (972) 709-1950 |
| NPI Number | 1982641692 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982641692 | NPI | - | NPPES |
| HH6483 | Other | TX | BC BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 008102 (Texas) | Primary |
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