Organization
RENAL TREATMENT CENTERS SOUTHEAST LP
Active
Other names
West Plano Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 382-1919
Entity
Organization
Contact information
Practice address
5036 TENNYSON PKWY, PLANO, TX 75024-3002
(972) 608-1089
(972) 608-1096
Mailing address
5200 VIRGINIA WAY, L&C DEPT 4TH FLOOR, BRENTWOOD, TN 37027-7569
(615) 320-4550
(866) 500-8578
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
110009
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219313801
—
TX
Enumeration date
01/07/2009
Last updated
05/16/2011
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