Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Active
Other names
Plano Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
481 SHILOH RD, STE 100, PLANO, TX 75074-7231
(972) 881-3270
(972) 881-5086
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 320-4224
(800) 293-4707
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
008724
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214699501
—
TX
Enumeration date
06/09/2008
Last updated
10/18/2023
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