Organization
ALVAH DIALYSIS LLC
Active
Other names
Weimar Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
407 E SOUTH ST, WEIMAR, TX 78962-2913
(979) 725-2266
(979) 725-2265
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(159) 974-2106
(866) 935-5481
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
—
4142622-01
—
TX
Enumeration date
02/04/2020
Last updated
05/17/2022
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