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RENAL TREATMENT CENTERS SOUTHEAST LP NPI 1497075162


NPI Information

NPI: 1497075162
Provider Name: RENAL TREATMENT CENTERS SOUTHEAST LP

Doing Business As: DAVITA CENTRAL DALLAS DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
9500 N CENTRAL EXPY
STE 102
DALLAS, TX
ZIP 75231
Phone: (214) 739-3004
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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 1497075162. The provider is registered as an organization entity type.
The provider Is Doing Business As Davita Central Dallas Dialysis.

The provider's business location address is:

9500 N CENTRAL EXPY
STE 102
DALLAS, TX
ZIP 75231-139
Phone: (214) 739-3004
Fax: (214) 739-3002

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 enumeration date for this NPI number is 6/4/2010 and was last updated on 5/18/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment110069TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1281059001MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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