Organization
GREYLOCK DIALYSIS LLC
Active
Other names
Fallbrook 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
11321 FALLBROOK DR, HOUSTON, TX 77065-4232
(281) 890-5468
(281) 807-3715
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0942849-01
—
TX
Enumeration date
02/25/2019
Last updated
03/30/2026
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