Organization
RENAL TREATMENT CENTERS SOUTHEAST LP
Active
Other names
Edinburg Citrus Grove Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
404 S VETERANS BLVD, STE D, EDINBURG, TX 78539
(956) 381-0078
(956) 381-0058
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6764
(833) 781-6999
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
110424
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3866329-01
—
TX
01
—
672852
MEDICARE/OSCAR
—
Enumeration date
09/29/2016
Last updated
02/03/2021
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