Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Active
Other names
HEB Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (SR DIRECTOR LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1809 FOREST RIDGE DR, BEDFORD, TX 76022-7961
(817) 545-4509
(817) 545-7392
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
006245
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139629303
—
TX
05
—
1726346
—
LA
Enumeration date
04/11/2006
Last updated
09/28/2023
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