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Organization

SAKDC - DAVITA DIALYSIS PARTNERS LP

Active
Other names
Judson 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
15619 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1159
(210) 653-9579
(210) 599-2136
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
4046856-02
TX
Enumeration date
12/26/2018
Last updated
10/27/2025
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