Organization
RENAL TREATMENT CENTERS SOUTHEAST LP
Active
Other names
DaVita Downtown Dallas Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHEIF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
3515 SWISS AVE, STE A, DALLAS, TX 75204-6223
(214) 828-2280
(214) 827-7204
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6764
(833) 781-6999
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
008427
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851693-02
—
TX
Enumeration date
07/20/2006
Last updated
05/20/2021
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