Organization
TOTAL RENAL CARE TEXAS LIMITED PARTNERSHIP
Active
Other names
Katy Dialysis Grand Parkway
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
403 W GRAND PKWY S, STE T, KATY, TX 77494-8358
(281) 392-6063
(281) 392-4331
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
008711
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094309401
—
TX
Enumeration date
04/11/2006
Last updated
09/19/2023
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