Organization
RENAL TREATMENT CENTERS SOUTHEAST LP
Active
Organization
RENAL TREATMENT CENTERS SOUTHEAST LP
Active
Other names
Duncanville Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
270 E HWY 67, STE 100, DUNCANVILLE, TX 75137-4428
(972) 296-4911
(972) 296-4429
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 341-6764
(833) 781-6999
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
008723
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211886101
—
TX
Enumeration date
06/23/2008
Last updated
04/19/2021
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