Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Active
Other names
Spring Branch 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
1425 BLALOCK RD, STE 100, HOUSTON, TX 77055-4446
(713) 932-7795
(713) 932-7644
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
008076
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177396202
—
TX
Enumeration date
04/12/2006
Last updated
04/10/2025
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