OrganizationActive
Bannon Dialysis, LLC
NPI 1063804987 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Mckinney, TX
Provider details
- NPI number
- 1063804987
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp Licensure & Certification(615) 341-6641
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
5329 W University Dr
Mckinney, TX 75071-8186
Phone: (214) 491-4263
Fax: (214) 491-4984
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Mckinney on 380 Dialysis
- Doing business as
- Mckinney on 380 Dialysis
Registry dates
- Enumerated
- 2015-03-02
- Last updated
- 2026-02-16
- Certified
- 2026-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.