Organization
RENAL TREATMENT CENTERS SOUTHEAST LP
Active
Other names
Livingston Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
209 W PARK, LIVINGSTON, TX 77351-7020
(936) 327-1108
(936) 327-1135
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
000232
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094283101
—
TX
Enumeration date
04/11/2006
Last updated
12/24/2018
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