Organization
DVA RENAL HEALTHCARE INC
Active
Other names
Reliant Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL JR. (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
1335 LA CONCHA LN, HOUSTON, TX 77054-1809
(713) 794-0600
(713) 794-0999
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 341-6764
(833) 781-6999
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
007308
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094292201
—
TX
Enumeration date
04/12/2006
Last updated
03/11/2021
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