Organization
RENAL CENTER OF PLANO, LLC
Active
Other names
Renal Center of Plano
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
4112 W SPRING CREEK PKWY STE D200, PLANO, TX 75024-5210
(972) 608-7831
(972) 608-7837
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
110080
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324409701
—
TX
Enumeration date
06/02/2011
Last updated
08/25/2025
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