Organization
HOCHATOWN DIALYSIS LLC
Active
Other names
Odessa 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
1216 E 8TH ST, ODESSA, TX 79761-4638
(432) 888-9801
(432) 888-9777
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
—
3288649
—
TX
Enumeration date
06/13/2013
Last updated
02/19/2025
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