Organization
CASCADES DIALYSIS LLC
Active
Other names
Champions 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
4427 FM 1960 RD W, HOUSTON, TX 77068-3409
(281) 444-8439
(281) 537-8250
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
110037
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026616
KIDNEY PROGRAM
TX
05
—
286459701
—
TX
Enumeration date
10/28/2009
Last updated
08/22/2024
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