Organization
RENAL TREATMENT CENTERS SOUTHEAST LP
Active
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
Update your record
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