Organization
UT SOUTHWESTERN DVA HEALTHCARE LLP
Active
Other names
UT Southwestern Oakcliff 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
655 W ILLINOIS AVE, STE 701, DALLAS, TX 75224-1814
(469) 895-5907
(469) 895-5931
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
006271
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094313601
—
TX
Enumeration date
04/12/2006
Last updated
07/01/2025
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