PREMIER DIALYSIS INC
Medical Equipment Supplier Yellow Pages
Duncanville, Texas
Provider NPI: 1740248624
Organization Information:Organization Name: PREMIER DIALYSIS INC
Practice Location:
1414 W. WHEATLAND ROAD SUITE 102 DUNCANVILLE, TX 75116 US
Tel: 972-709-1950 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1414 W. WHEATLAND ROAD SUITE 102 DUNCANVILLE, TX 75116 US
Tel: 972-709-1950 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 332BD1200X | Suppliers Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies | TX | 0068138 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
160043901 | TX | 05 | |
BCBS | 531717 | TX | 01 |
BCBS | HH6484 | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin