Organization
TOTAL RENAL CARE TEXAS LIMITED PARTNERSHIP
Active
Other names
Pearland Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSUR E & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
6516 BROADWAY ST, STE 122, PEARLAND, TX 77581-7879
(281) 412-7422
(281) 412-7791
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
007842
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087932205
—
TX
05
—
1599816
—
LA
Enumeration date
04/12/2006
Last updated
02/20/2025
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