PHYSICIANS DIALYSIS FRISCO – NPI #1104378397
Clinic/Center

PHYSICIANS DIALYSIS FRISCO is an AHC clinic located in FRISCO, TX. NPPES has assigned the NPI number 1104378397 to PHYSICIANS DIALYSIS FRISCO on November 04, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PHYSICIANS DIALYSIS FRISCO” is a dba name, the actual legal business name for this organization is CLOUGH DIALYSIS LLC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHYSICIANS DIALYSIS FRISCO below.

NPI Profile for
CLOUGH DIALYSIS LLC

NPI Number
1104378397
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLOUGH DIALYSIS LLC
Doing Business As (dba): PHYSICIANS DIALYSIS FRISCO
Primary location
6116 SPORTS VILLAGE RD
FRISCO, TX 75033-3584
Phone: (469) 362-5763 Fax:
Mailing address
19559 NE 10TH AVE
NORTH MIAMI BEACH, FL 33179-3501
Phone: (305) 651-3261 Fax:
Organization Subpart
No
Authorized Official
GARY BOOTH
CEO
Phone: (305) 651-3261
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.