Organization
TEXAS RENAL VENTURES, LP, LLLP
Active
Other names
Renal Center of Fort Worth
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
251 UNIVERSITY DR, STE 101, FORT WORTH, TX 76107-1986
(817) 870-5002
(817) 870-0044
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094336701
—
TX
Enumeration date
07/12/2006
Last updated
02/20/2025
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