Organization
RENAL CENTER OF CARROLLTON, LP, LLLP
Active
Other names
RENAL CENTER OF CARROLLTON
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
4240 INTERNATIONAL PKWY STE 158, CARROLLTON, TX 75007-1974
(972) 306-8410
(972) 306-8109
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
008083
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166811302
—
TX
Enumeration date
07/12/2006
Last updated
01/10/2025
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