RENAL TREATMENT CENTERS-SOUTHEAST LP. NPI 1588833636

NPI Information

NPI: 1588833636
Provider Name: RENAL TREATMENT CENTERS-SOUTHEAST, LP.

Doing Business As: MAGNOLIA DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
17649 FM 1488 RD
MAGNOLIA, TX
ZIP 77354
Phone: (281) 259-0397
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RENAL TREATMENT CENTERS-SOUTHEAST, LP. is an end-stage renal disease (esrd) treatment clinic center in Magnolia, TX. RENAL TREATMENT CENTERS-SOUTHEAST, LP. NPI is 1588833636. The provider is registered as an organization entity type.
The provider Is Doing Business As Magnolia Dialysis Center.

The provider's business location address is:

17649 FM 1488 RD
MAGNOLIA, TX
ZIP 77354-235
Phone: (281) 259-0397
Fax: (281) 259-0425

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp Licensure&certification and has the following contact phone number (615) 341-6641.

The enumeration date for this NPI number is 2/22/2008 and was last updated on 10/18/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	008670	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	208728002	MEDICAID	TEXAS

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: 5/5/2024

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