Organization
EAST HOUSTON KIDNEY CENTER LP
Active
Other names
Jacinto Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
11515 MARKET STREET RD, HOUSTON, TX 77029-2305
(713) 453-0505
(713) 453-0599
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
008111
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172751302
—
TX
Enumeration date
04/11/2006
Last updated
10/28/2025
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