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Russell Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wylie, Texas
NPI 1730466673

Russell Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, TX and is specialized in End-Stage Renal Disease (ESRD) Treatment. Russell Dialysis Llc practices in Wylie, TX. The NPI Number for Russell Dialysis Llc is 1730466673 and holds a License No. (Texas).

The current practice location address for Russell Dialysis Llc is 941 S Westgate Way, Wylie, TX and can be reached out via phone at 972-429-4315 and via fax at 972-429-8954.

Location: 941 S Westgate Way, Wylie, TX, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730466673
Provider Name
Russell Dialysis Llc
Credential
Provider Entity Type
Organization
Address
941 S Westgate Way, Wylie, TX, 37027-7569
Phone Number
972-429-4315
Fax Number
972-429-8954
Provider Enumeration Date
11/07/2011
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
319844201 05 TX
institution
Provider Business Practice Location Address Details
Address
941 S Westgate Way
City
Wylie
State
Texas
Zip
75098-4947
Phone Number
972-429-4315
Fax Number
972-429-8954
person
Provider Business Mailing Address Details
Address
941 S Westgate Way
City
Wylie
State
Texas
Zip
75098-4947
Phone Number
972-429-4315
Fax Number
972-429-8954
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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