Organization
TOTAL RENAL CARE INC
Active
Other names
Mission Valley 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
1203 ST CLAIRE BLVD, 9B, MISSION, TX 78572-6601
(956) 583-3760
(956) 583-8252
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
110032
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
289952801
—
TX
Enumeration date
05/14/2009
Last updated
03/25/2026
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