Organization
SAKDC - DAVITA DIALYSIS PARTNERS LP
Active
Other names
Roadrunner Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
5010 WISEMAN BLVD, SAN ANTONIO, TX 78251-4777
(210) 520-0341
(210) 520-0236
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3984692-02
—
TX
Enumeration date
12/26/2018
Last updated
05/21/2025
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