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Ut Southwestern Dva Healthcare Llp
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Dallas, Texas
NPI 1073576021

Ut Southwestern Dva Healthcare Llp is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, TX and is specialized in End-Stage Renal Disease (ESRD) Treatment. Ut Southwestern Dva Healthcare Llp practices in Dallas, TX. The NPI Number for Ut Southwestern Dva Healthcare Llp is 1073576021 and holds a License No. 007230 (Texas).

The current practice location address for Ut Southwestern Dva Healthcare Llp is 3402 N Buckner Blvd Ste 308, Dallas, TX and can be reached out via phone at 214-660-9413 and via fax at 214-660-9465.

Location: 3402 N Buckner Blvd Ste 308, Dallas, TX, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073576021
Provider Name
Ut Southwestern Dva Healthcare Llp
Credential
Provider Entity Type
Organization
Address
3402 N Buckner Blvd Ste 308, Dallas, TX, 37027-7569
Phone Number
214-660-9413
Fax Number
214-660-9465
Provider Enumeration Date
04/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
094339101 05 TX
institution
Provider Business Practice Location Address Details
Address
3402 N Buckner Blvd Ste 308
City
Dallas
State
Texas
Zip
75228-5656
Phone Number
214-660-9413
Fax Number
214-660-9465
person
Provider Business Mailing Address Details
Address
3402 N Buckner Blvd Ste 308
City
Dallas
State
Texas
Zip
75228-5656
Phone Number
214-660-9413
Fax Number
214-660-9465
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.
007230 (Texas)
Definition
Definition to come...
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