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Wayside Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Socorro, Texas
NPI 1932564010

Wayside 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. Wayside Dialysis Llc practices in Socorro, TX. The NPI Number for Wayside Dialysis Llc is 1932564010 and holds a License No. (Texas).

The current practice location address for Wayside Dialysis Llc is 10697 N Loop Dr, Socorro, TX and can be reached out via phone at 915-790-0538 and via fax at 915-790-0639.

Location: 10697 N Loop Dr, Socorro, TX, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932564010
Provider Name
Wayside Dialysis Llc
Credential
Provider Entity Type
Organization
Address
10697 N Loop Dr, Socorro, TX, 37027-7569
Phone Number
915-790-0538
Fax Number
915-790-0639
Provider Enumeration Date
12/16/2015
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
383000201 05 TX
institution
Provider Business Practice Location Address Details
Address
10697 N Loop Dr
City
Socorro
State
Texas
Zip
79927-6400
Phone Number
915-790-0538
Fax Number
915-790-0639
person
Provider Business Mailing Address Details
Address
10697 N Loop Dr
City
Socorro
State
Texas
Zip
79927-6400
Phone Number
915-790-0538
Fax Number
915-790-0639
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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