Organization
RENAL TREATMENT CENTERS SOUTHEAST LP
Active
Other names
Rockport Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 382-1919
Entity
Organization
Contact information
Practice address
2102 FM 2165, ROCKPORT, TX 78382-9998
(361) 729-5900
(361) 729-5572
Mailing address
5200 VIRGINIA WAY, 4TH FLOOR L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4550
(866) 500-8578
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
008744
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206718301
—
TX
Enumeration date
09/30/2008
Last updated
01/04/2011
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