Organization
CHOUTEAU DIALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
739 E 20TH ST, HOUSTON, TX 77008
(713) 802-0542
(713) 802-0762
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, BRENTWOOD, TN 37027-7569
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
01
—
110296
STATE LICENSE
TX
05
—
3768459-01
—
TX
Enumeration date
09/17/2014
Last updated
01/21/2026
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