Organization
STEVENSON DIALYSIS, LLC
Active
Other names
El Paso Peritoneal 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
1310 MURCHISON DR, STE C, EL PASO, TX 79902-4821
(915) 351-0893
(915) 533-8516
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363167301
—
TX
Enumeration date
07/10/2014
Last updated
03/12/2025
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