Organization
RENAL CENTER OF LEWISVILLE, LLC
Active
Other names
Renal Center of Lewisville
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1600 WATERS RIDGE DR, STE B, LEWISVILLE, TX 75057-6039
(972) 436-7211
(972) 436-4138
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
008002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1900417
—
TX
Enumeration date
03/06/2007
Last updated
03/14/2025
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