NPI 1003193053

Terrell Dialysis Center, LLC

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Dallas, TX

Practice location

Address: 4810 W Illinois Ave, Dallas, TX 75211-6501
Phone: (214) 467-3788
Fax: (214) 467-3789

Authorised official

Name: Mark R. Fawcett
Title: Treasurer
Phone: (781) 699-9000

Registered specialties

End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QE0700X

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Registry record

NPI: 1003193053
Entity type: Organization
NPI issued: 4 Nov 2011
Record last updated: 4 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.