PURIFICARE DIALYSIS LLC
NPI 1538201850
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Arlington, TX

Active since February 13, 2007
801 AVENUE H E STE 110, ARLINGTON, TX 76011(817) 709-4923 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment

About PURIFICARE DIALYSIS LLC

This page provides the complete NPI Profile along with additional information for Purificare Dialysis Llc, a provider established in Arlington, Texas operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1538201850 assigned on February 2007. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Matt Frederic (President)

NPI
1538201850 Verify this NPI
Provider Name
PURIFICARE DIALYSIS LLC
Entity Type
Organization
Location Address
801 AVENUE H E STE 110 ARLINGTON, TX 76011
Location Phone
(817) 709-4923
Mailing Address
15255 HEATHER STONE CT SAN DIEGO, CA 92127
Mailing Phone
(760) 473-8300
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MATT FREDERIC

Authorized Official Title
PRESIDENT
Authorized Official Phone
(760) 473-8300

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538201850, enumerated as an "organization" on February 13, 2007.

The provider is located at 801 AVENUE H E STE 110 ARLINGTON, TX 76011 and the phone number is (817) 709-4923.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.