Organization
RENAL TREATMENT CENTERS-SOUTHEAST LP
Active
Other names
Jensen Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
9716 JENSEN DR, HOUSTON, TX 77093-6302
(713) 692-4600
(713) 692-4607
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
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
—
344409301
—
TX
Enumeration date
07/22/2014
Last updated
11/12/2024
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