Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP
Active
Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP
Active
Other names
Dialysis Care of Mesquite
Organization subpart
No
Provider details
NPI number
Authorized official
SAM T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6691
Entity
Organization
Contact information
Practice address
2110 N GALLOWAY AVE STE 102, MESQUITE, TX 75150-5736
(615) 554-0594
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 554-0594
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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