Organization
AUSTIN DIALYSIS CENTERS LP
Active
Organization
AUSTIN DIALYSIS CENTERS LP
Active
Other names
Waterloo Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
5310 BURNET RD, UNIT 122, AUSTIN, TX 78756-2003
(512) 420-9403
(512) 420-9640
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
008173
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1778920-02
—
TX
Enumeration date
04/12/2006
Last updated
06/08/2026
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