Provider Demographics
NPI:1053634030
Name:DALLAS NEPHROLOGY ASSOCIATES
Entity Type:Organization
Organization Name:DALLAS NEPHROLOGY ASSOCIATES
Other - Org Name:DALLAS NEPHROLOGY ASSOCIATES VASCULAR CENTER DALLAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:LIANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-358-2300
Mailing Address - Street 1:1505 LBJ FWY STE 700
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-6065
Mailing Address - Country:US
Mailing Address - Phone:214-358-2300
Mailing Address - Fax:214-579-6941
Practice Address - Street 1:3604 LIVE OAK ST
Practice Address - Street 2:SUITE 300
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-6168
Practice Address - Country:US
Practice Address - Phone:214-826-4224
Practice Address - Fax:214-826-6442
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DALLAS NEPHROLOGY ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-05
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical