Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1724 W US HIGHWAY 82 STE 100, SHERMAN, TX 75092-7037
(903) 421-0394
(903) 294-4189
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
006093
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094314401
—
TX
Enumeration date
04/12/2006
Last updated
03/25/2026
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