Organization
SAKDC - DAVITA DIALYSIS PARTNERS LP
Active
Other names
Westover Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
9846 WESTOVER HILLS BLVD, #103, SAN ANTONIO, TX 78251-4125
(210) 681-9180
(210) 681-9745
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3293581-01
—
TX
Enumeration date
09/23/2011
Last updated
11/14/2024
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