Provider Type Icon

RENAL CENTER OF FLOWER MOUND LLC NPI 1861887051


NPI Information

NPI: 1861887051
Provider Name: RENAL CENTER OF FLOWER MOUND, LLC

Doing Business As: RENAL CENTER OF FLOWER MOUND

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 45D2097130

Address:
4941 LONG PRAIRIE RD
FLOWER MOUND, TX
ZIP 75028
Phone: (972) 537-5572
Get Directions

RENAL CENTER OF FLOWER MOUND, LLC is an end-stage renal disease (esrd) treatment clinic center in Flower Mound, TX. RENAL CENTER OF FLOWER MOUND, LLC NPI is 1861887051. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Center Of Flower Mound.

The provider's business location address is:

4941 LONG PRAIRIE RD
FLOWER MOUND, TX
ZIP 75028-782
Phone: (972) 537-5572
Fax: (469) 464-4357

The provider's authorized official is Samuel Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 45D2097130 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2015 and was last updated on 12/4/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13807281-01MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.