Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Active
Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Active
Other names
Greatwood 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
20333 SOUTHWEST FWY, STE 105, SUGAR LAND, TX 77479-6183
(281) 545-1470
(281) 545-1839
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
110203
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3470866-01
—
TX
Enumeration date
07/02/2013
Last updated
01/10/2025
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