institution
Ut Southwestern Dva Healthcare Llp
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Dallas, Texas
NPI 1649234212

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 1649234212 and holds a License No. 006271 (Texas).

The current practice location address for Ut Southwestern Dva Healthcare Llp is 655 W Illinois Ave, Dallas, TX and can be reached out via phone at 469-895-5907 and via fax at 469-895-5931. You can also correspond with Ut Southwestern Dva Healthcare Llp through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-320-4224).

Location: 655 W Illinois Ave, Dallas, TX, 37027-7569
institution
Provider Profile Details
NPI Number
1649234212
Provider Name
Ut Southwestern Dva Healthcare Llp
Credential
Provider Entity Type
Organization
Address
655 W Illinois Ave, Dallas, TX, 37027-7569
Phone Number
469-895-5907
Fax Number
469-895-5931
Provider Enumeration Date
04/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
094313601 05 TX
institution
Provider Business Practice Location Address Details
Address
655 W Illinois Ave
City
State
Zip
75224-1814
Phone Number
469-895-5907
Fax Number
469-895-5931
person
Provider Business Mailing Address Details
Address
655 W Illinois Ave
City
State
Zip
75224-1814
Phone Number
469-895-5907
Fax Number
469-895-5931
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
006271 (Texas)
Definition
Definition to come...
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