Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Active
Other names
Bluebonnet Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
3601 MANOR RD, AUSTIN, TX 78723-5816
(512) 926-7378
(512) 926-7364
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 997-4210
(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
—
323153201
—
TX
Enumeration date
11/18/2011
Last updated
11/22/2022
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