MEDICARE: RENAL TREATMENT CENTERS-SOUTHEAST, LP.

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	110069	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497075162
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENAL TREATMENT CENTERS-SOUTHEAST, LP.

Provider Business Mailing Address
First Line	:	5200 VIRGINIA WAY
Second Line	:	L&C DEPT
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-7569
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 N CENTRAL EXPY
Second Line	:	STE 102
City	:	DALLAS
State	:	TX
Zip	:	75231-5139
Country	:	US
Telephone Number	:	214-739-3004
Fax Number	:	214-739-3002

Authorized Official
Title or Position	:	VP LICENSURE&CERTIFICATION
Name	:	SAMUEL T WEY
Credential	:
Telephone Number	:	615-341-6641

Provider Enumeration Date	:	06/04/2010
Last Update Date	:	02/03/2026

Similar Medicare Providers

1427056639 — CHRISTOPHER F LUCCHESE DO
Practice Location Address:

10935 ESTATE LN STE 395
DALLAS, TX
75238-5139

Practice Phone: 972-798-8001
Practice Fax:

1881789626 — DR. JAYCILE LITTLE SPEARS M.D.
Practice Location Address:

6204 MEADOW
DALLAS, TX
75230-5139

Practice Phone: 214-363-4481
Practice Fax: 214-363-4483

1376910018 — INTEGRON LLC
Practice Location Address:

5139 SHARP STREET
DALLAS, TX
75247

Practice Phone: 214-225-1230
Practice Fax:

1720921562 — ASTER WORKINEH
Practice Location Address:

8440 WALNUT HILL LN STE 800
DALLAS, TX
75231-3825

Practice Phone: 214-345-6176
Practice Fax:

1497698237 — ZACHARY JAMES PETROWSKI
Practice Location Address:

8440 WALNUT HILL LN
DALLAS, TX
75231-3833

Practice Phone: 214-978-6694
Practice Fax:

1659371227 — RHEUMATOLOGY ASSOCIATES & SUBSIDIARY
Practice Location Address:

8144 WALNUT HILL LN STE 800
DALLAS, TX
75231-4345

Practice Phone: 214-540-0700
Practice Fax: 214-540-0701

Directions to “RENAL TREATMENT CENTERS-SOUTHEAST, LP. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.