Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Active
Other names
Laredo North Creek Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
2443 MONARCH DR, LAREDO, TX 78045-6329
(956) 725-5203
(956) 725-5082
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4224
(800) 293-4707
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
—
3907131-01
—
TX
Enumeration date
03/28/2017
Last updated
02/28/2024
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