Provider Demographics
NPI:1740782598
Name:FRESENIUS MEDICAL CARE CEDAR HILL, LLC
Entity Type:Organization
Organization Name:FRESENIUS MEDICAL CARE CEDAR HILL, LLC
Other - Org Name:FRESENIUS KIDNEY CARE CEDAR HILL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:120 W BELT LINE RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-2011
Mailing Address - Country:US
Mailing Address - Phone:972-293-8178
Mailing Address - Fax:972-293-8198
Practice Address - Street 1:120 W BELT LINE RD
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2011
Practice Address - Country:US
Practice Address - Phone:972-293-8178
Practice Address - Fax:972-293-8198
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-07
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment