Organization
DWORSHER DIALYSIS LLC
Active
Other names
Green Oak Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
1426 KINGWOOD DR, KINGWOOD, TX 77339-3040
(281) 312-1301
(281) 358-1472
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 320-4224
(800) 293-4707
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
—
359398001
—
TX
Enumeration date
05/07/2014
Last updated
07/27/2023
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