Dva Renal Healthcare INC

NPI #1306809454 in Bryan, Texas

Provider Information

NPI Number: 1306809454
Entity Type: Organization
Organization Name: Dva Renal Healthcare INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Apr 10, 2006
Last Updated: Dec 19, 2024

Practice Location

Address: 1640 BRIARCREST DR STE 100
City: Bryan
State: Texas
ZIP Code: 77802-2933
Phone: (979) 260-4908

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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