Organization
WINSTER DIALYSIS LLC
Active
Other names
Vivify Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
800 N TEXAS AVE, ODESSA, TX 79761-4012
(432) 332-1974
(432) 332-4183
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
—
3807323
—
TX
Enumeration date
10/06/2015
Last updated
05/15/2026
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