Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
5920 RENWICK DR., STE A, HOUSTON, TX 77081-0004
(713) 660-0073
(713) 660-0259
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 997-4210
(866) 935-5481
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
110145
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311390401
—
TX
Enumeration date
06/08/2012
Last updated
06/15/2022
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