Organization
VANCLEER DIALYSIS LLC
Active
Other names
Barker Cypress Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
18003 LONGENBAUGH DRIVE, CYPRESS, TX 77433-7196
(281) 856-6198
(281) 856-6224
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
05
—
3925380-01
—
TX
Enumeration date
01/10/2018
Last updated
05/16/2024
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