Grand Prairie Dialysis Center

LBN: B Rai Mehta Md
Grand Prairie Dialysis Center is an health care organization with primary practice located at 550 S Carrier Pkwy 450, Grand Prairie TX 75051-1500. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. B Rai Mehta Md can be contacted via phone (817) 417-0973, or through Irving, Shelly Ann via phone (817) 417-0973.

Contact Information

Primary practice address
550 S Carrier Pkwy 450 Grand Prairie TX 75051-1500
Phone: (817) 417-0973
Fax: (817) 417-7266
Website:
Map and Directions
Authorized official contact:
Name: Irving, Shelly Ann
Phone: (817) 417-0973

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 007944 Texas

Profile Details

NPI number 1356359897
LBN Legal business name B Rai Mehta Md
DBA Doing business as Grand Prairie Dialysis Center
Authorized official Irving, Shelly Ann
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2006
Last updated Jun 25th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356359897 NPPES
Texas MEDICAID 161011501
Texas MEDICAID 161011502

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