PHOENIX DIALYSIS LLC – NPI #1710422845
Clinic/Center

PHOENIX DIALYSIS LLC is an AHC clinic located in WEIMAR, TX. NPPES has assigned the NPI number 1710422845 to PHOENIX DIALYSIS LLC on December 28, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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

The NPI profile was previously updated about 8 years ago on Mar 01, 2018. 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 PHOENIX DIALYSIS LLC below.

NPI Profile for
PHOENIX DIALYSIS LLC

NPI Number
1710422845
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
PHOENIX DIALYSIS LLC
Primary location
407 E. SOUTH ST.
WEIMAR, TX 78962
Phone: (979) 985-3700 Fax: (979) 859-7154
Mailing address
PO BOX 127
FRESNO, TX 77545-0127
Phone: Fax:
Organization Subpart
No
Authorized Official
AUTUMN DAWSON
CEO
Phone: (979) 985-3700
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)		 TX 110457

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.