Organization
RENAL TREATMENT CENTERS-SOUTHEAST LP
Active
Organization
RENAL TREATMENT CENTERS-SOUTHEAST LP
Active
Other names
T C Jester Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1800 W 26TH ST, STE 101, HOUSTON, TX 77008-1451
(713) 863-0463
(713) 863-8272
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
110030
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2850356-01
—
TX
Enumeration date
06/12/2009
Last updated
01/14/2026
Update your record
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