Organization · Type 2 NPI
Renal Treatment Centers-Southeast, Lp.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Longview, TX
NPI number
1316900137
Active
Practice location
3110 H G Mosley Pkwy Ste 100
Longview, TX 75605-2941
Fax (903) 234-8521
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 006168 (TX) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Other end-stage renal disease (esrd) treatment clinic/center providers in Longview
About NPI 1316900137
Renal Treatment Centers-Southeast, Lp.'s National Provider Identifier is 1316900137, issued on Apr 11, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Longview, TX. The record was last updated on Apr 17, 2024.