Organization · Type 2 NPI

Renal Treatment Centers Southeast LP

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Dallas, TX

NPI number 1396708343 Active

Practice location

11886 Greenville Ave, Ste 100B
Dallas, TX 75243-0584

Call (972) 918-0100 Map

Fax (972) 918-0110

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	008070 (TX)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

2 other providers at this address

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Psi Premier Specialties, Inc.Prosthetic/Orthotic Supplier Dallas, TX NPI 1831470475

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NPI record

NPI: 1396708343
Entity type: Organization (Type 2)
Issued: Apr 10, 2006
Last updated: Feb 3, 2021
Status: Active

Other names

<unavail>
Dallas North Dialysis Center · doing business as
Dallas North Dialysis Center · doing business as

Authorized official

John D Winstel
Chief Accounting Officer
(253) 733-4501

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1396708343

Renal Treatment Centers Southeast LP's National Provider Identifier is 1396708343, issued on Apr 10, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Dallas, TX. The record was last updated on Feb 3, 2021.