RENAL TREATMENT CENTERS SOUTHEAST LP NPI 1396708343

NPI Information

RENAL TREATMENT CENTERS SOUTHEAST LP is an end-stage renal disease (esrd) treatment clinic center in Dallas, TX. RENAL TREATMENT CENTERS SOUTHEAST LP NPI is 1396708343. The provider is registered as an organization entity type.
The provider Is Doing Business As Dallas North Dialysis Center.

The provider's business location address is:

11886 GREENVILLE AVE
STE 100B
DALLAS, TX
ZIP 75243-584
Phone: (972) 918-0100
Fax: (972) 918-0110

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 45D1024881 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 2/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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