Bannon Dialysis, LLC
Bannon Dialysis, LLC is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Mckinney, TX, holding Type 2 (organization) NPI 1063804987 since 2015. The authorized official on file is Samuel Wey, Vp Licensure & Certification.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063804987 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bannon Dialysis, LLC |
| Other name | <Unavail> |
| Practice address | 5329 W UNIVERSITY DR, Mckinney, TX, 75071 |
| Phone | 2144914263 |
| Fax | 2144914984 |
| Enumeration date | 2015-03-02 |
| Last updated in NPPES | 2026-02-16 |
Authorized official
| Name | Samuel Wey |
|---|---|
| Title | Vp Licensure & Certification |
| Phone | 6153416641 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376690901 | Medicaid | TX | — |
Copy-ready billing details
Provider: Bannon Dialysis, LLC NPI: 1063804987 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 5329 W UNIVERSITY DR, Mckinney, TX, 75071
Verify this record
Cross-check NPI 1063804987 against the authoritative CMS record: view Bannon Dialysis, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Bannon Dialysis, LLC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-02-16.