Organization
HUGO DIALYSIS, LLC
Active
Other names
Keller 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
11000 N RIVERSIDE DR, FORT WORTH, TX 76244-5407
(817) 337-5483
(817) 431-9475
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
110290
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365973201
—
TX
Enumeration date
08/15/2014
Last updated
07/01/2025
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