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Organization

RENAL TREATMENT CENTERS SOUTHEAST LP

Active
Other names
Woodforest Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization

Contact information

Practice address
12626 WOODFOREST BLVD, STE C, HOUSTON, TX 77015-3650
(713) 455-3370
(713) 455-3387
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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3320178-01
TX
Enumeration date
04/03/2013
Last updated
04/14/2021
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