Organization
RENAL CENTER OF ORANGE, LLC
Active
Other names
Renal Center of Orange
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
280 STRICKLAND DR, ORANGE, TX 77630-4750
(409) 883-4001
(409) 883-4330
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
—
309564801
—
TX
Enumeration date
12/29/2011
Last updated
02/18/2025
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