Organization
WOOD DIALYSIS LLC
Active
Other names
Cypress Woods Northwest 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
20320 NORTHWEST FWY STE 100, JERSEY VILLAGE, TX 77065-5643
(281) 890-2540
(281) 890-5376
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
008757
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283087901
—
TX
Enumeration date
08/14/2008
Last updated
01/22/2025
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