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Organization

DVA RENAL HEALTHCARE INC

Active
Other names
Brenham Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization

Contact information

Practice address
2815 HIGHWAY 36 S, BRENHAM, TX 77833-8143
(979) 251-7287
(979) 836-2276
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
007307
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
094275701
TX
Enumeration date
04/10/2006
Last updated
02/16/2026
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