Organization
RENAL CENTER OF NORTH DENTON, LLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
4309 MESA DR, DENTON, TX 76207-3438
(940) 566-2701
(940) 483-8251
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
008212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0942492-01
—
TX
Enumeration date
06/19/2006
Last updated
04/23/2025
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