Organization
RENAL TREATMENT CENTERS SOUTHEAST LP
Active
Other names
Hearne Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K. HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
106 CEDAR ST, HEARNE, TX 77859-2523
(979) 279-9632
(979) 279-9621
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6764
(833) 781-6999
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
008752
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2042343-01
—
TX
Enumeration date
06/18/2008
Last updated
03/25/2019
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