Organization
MEMORIAL DIALYSIS CENTER LP
Active
Organization
MEMORIAL DIALYSIS CENTER LP
Active
Other names
Memorial Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
11621 KATY FWY, HOUSTON, TX 77079-1801
(281) 558-5702
(281) 597-8377
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
008214
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094305201
—
TX
Enumeration date
04/11/2006
Last updated
11/06/2024
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