Organization
MINAM DIALYSIS LLC
Active
Other names
Amarillo Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
8604 S COULTER ST, AMARILLO, TX 79119-7379
(806) 358-0051
(806) 355-0410
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
110095
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027492
TX KIDNEY CARE
TX
05
—
287473701
—
TX
Enumeration date
06/17/2011
Last updated
09/17/2025
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