Organization
RENAL TREATMENT CENTERS SOUTHEAST LP
Active
Other names
Oso Bay Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 382-1919
Entity
Organization
Contact information
Practice address
7502 S PADRE ISLAND DR, CORPUS CHRISTI, TX 78412-4308
(361) 994-1028
(361) 994-1829
Mailing address
5200 VIRGINIA WAY, SUITE 400-L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4550
(866) 500-8578
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
110033
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282729701
—
TX
Enumeration date
10/23/2009
Last updated
10/14/2011
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