Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Pearsall 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
1305 N OAK ST, PEARSALL, TX 78061-3414
(830) 334-4690
(830) 334-3380
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
000015
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087908201
—
TX
Enumeration date
04/12/2006
Last updated
03/25/2026
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