Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Active
Other names
DaVita Central Dallas Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
9500 N CENTRAL EXPY, STE 102, DALLAS, TX 75231-5139
(214) 739-3004
(214) 739-3002
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
110069
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281059001
—
TX
Enumeration date
06/04/2010
Last updated
02/03/2026
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