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Organization

RENAL TREATMENT CENTERS-SOUTHEAST LP

Active
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Organization

RENAL TREATMENT CENTERS-SOUTHEAST LP

Active
Other names
Wharton 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
103 W AHLDAG ST, WHARTON, TX 77488-2407
(979) 282-8484
(979) 282-8489
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, 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
3511669-01
TX
Enumeration date
07/22/2014
Last updated
03/27/2026
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