Organization
WILLOWBROOK DIALYSIS CENTER LP
Active
Other names
Willowbrook Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
12120 JONES RD, STE G, HOUSTON, TX 77070-5280
(281) 890-7288
(281) 890-7248
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
008286
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179726802
—
TX
Enumeration date
05/22/2006
Last updated
01/22/2025
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