RENAL TREATMENT CENTERS-SOUTHEAST LP. NPI 1699022913

NPI Information

  • NPI: 1699022913
  • Provider Name: RENAL TREATMENT CENTERS-SOUTHEAST, LP.
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • :
  • CLIA Number: 45D1032050
  • Address: 12430 STATE HIGHWAY 249 STE H
    HOUSTON, TX
    ZIP 77086
  • Phone: (281) 999-0348

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NPI Details

RENAL TREATMENT CENTERS-SOUTHEAST, LP. is an end-stage renal disease (esrd) treatment clinic center in Houston, TX. RENAL TREATMENT CENTERS-SOUTHEAST, LP. NPI is 1699022913. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

12430 STATE HIGHWAY 249 STE H
HOUSTON, TX
ZIP 77086-339
Phone: (281) 999-0348
Fax: (281) 999-0383

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 CLIA number assigned to this NPI record is 45D1032050 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/6/2012 and was last updated on 3/12/2025.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment110165TEXASYes

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
13143620-01OTHERTEXASMEDICAID

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: 3/30/2025

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