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Desoto Regional Dialysis Center Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Desoto, Texas
NPI 1003227075

Desoto Regional Dialysis Center Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Desoto, TX and is specialized in End-Stage Renal Disease (ESRD) Treatment. Desoto Regional Dialysis Center Llc practices in Desoto, TX. The NPI Number for Desoto Regional Dialysis Center Llc is 1003227075 and holds a License No. (Texas).

The current practice location address for Desoto Regional Dialysis Center Llc is 2651 Bolton Boone Dr, Desoto, TX and can be reached out via phone at 972-780-5991 and via fax at 972-780-5992.

Location: 2651 Bolton Boone Dr, Desoto, TX, 75115-2011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003227075
Provider Name
Desoto Regional Dialysis Center Llc
Credential
Provider Entity Type
Organization
Address
2651 Bolton Boone Dr, Desoto, TX, 75115-2011
Phone Number
972-780-5991
Fax Number
972-780-5992
Provider Enumeration Date
05/13/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
364692901 05 TX
institution
Provider Business Practice Location Address Details
Address
2651 Bolton Boone Dr
City
Desoto
State
Texas
Zip
75115-2011
Phone Number
972-780-5991
Fax Number
972-780-5992
person
Provider Business Mailing Address Details
Address
2651 Bolton Boone Dr
City
Desoto
State
Texas
Zip
75115-2011
Phone Number
972-780-5991
Fax Number
972-780-5992
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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