Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Active
Other names
Mid Cities 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
117 E HARWOOD RD, HURST, TX 76054-3043
(817) 656-2843
(817) 656-2040
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
008590
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0942898 08
—
TX
Enumeration date
08/10/2007
Last updated
04/21/2025
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