MEDICARE: FRESENIUS MEDICAL CARE WILL CLAYTON, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number	:	1629936208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRESENIUS MEDICAL CARE WILL CLAYTON, LLC

Provider Business Mailing Address
First Line	:	18760 HIGHWAY 59 N STE 110
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77338-4401
Country	:	US
Telephone Number	:	346-842-6760
Fax Number	:	281-822-8761

Provider Business Practice Location Address
First Line	:	18760 HIGHWAY 59 N STE 110
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77338-4401
Country	:	US
Telephone Number	:	346-842-6760
Fax Number	:	281-822-8761

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	BARRY BLANTON
Credential	:
Telephone Number	:	781-676-5200

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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