Organization
RENAL CENTER OF FLOWER MOUND, LLC
Active
Other names
Renal Center of Flower Mound
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
4941 LONG PRAIRIE RD, FLOWER MOUND, TX 75028-2782
(972) 537-5572
(469) 464-4357
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
—
3807281-01
—
TX
Enumeration date
04/03/2015
Last updated
01/26/2026
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