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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