Organization
DVA HEALTHCARE RENAL CARE INC
Active
Other names
San Jacinto 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
11430 EAST FWY STE 330, HOUSTON, TX 77029-1959
(713) 450-4991
(713) 451-5766
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
000121
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021039502
—
TX
Enumeration date
04/12/2006
Last updated
11/26/2025
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