Renal Treatment Centers-Southeast, Lp.

NPI #1194069617 in Warren, Arkansas

Provider Information

NPI Number: 1194069617
Entity Type: Organization
Organization Name: Renal Treatment Centers-Southeast, Lp.
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Nov 21, 2012
Last Updated: Jan 17, 2024

Practice Location

Address: 204 BRAGG ST
City: Warren
State: Arkansas
ZIP Code: 71671-2500
Phone: (870) 226-7180

Authorized Official

Name: SAMUEL T WEY
Title: VP LICENSURE & CERTIFICATION
Phone: (615) 341-6641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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