Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
Southwest San Antonio Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
1620 SOMERSET RD, SAN ANTONIO, TX 78211-3021
(210) 924-6684
(210) 924-8332
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
000025
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0210759-01
—
TX
Enumeration date
04/12/2006
Last updated
05/20/2021
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