Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Active
Other names
Gonzales Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1406 N SARAH DEWITT DR, GONZALES, TX 78629
(830) 672-4377
(830) 672-4469
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
008019
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094299701
—
TX
Enumeration date
04/10/2006
Last updated
05/27/2025
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