RENAL TREATMENT CENTERS SOUTHEAST LP (NPI# 1699022913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699022913 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS SOUTHEAST LP |
| Other Organization Name | GRACIAS DIALYSIS |
| Practice Address |
12430 State Highway 249 Ste H Houston TX 77086-3339 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 2819990348 |
| Practice Fax Number | 2819990383 |
| Mailing Telephone | 6153416764 |
| Mailing Fax Number | 8337816999 |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2019-04-09 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFC & TREASURER) |
| Authorized Official Telephone | 2537334500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
110165 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICAID | 3143620-01 | 01 |
| Other Name | Type Code |
|---|---|
| Gracias Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689176711 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1510 Eastern Blvd, Montgomery, AL 36117-1629 | 2018-03-05 |
| 1376075523 | Renal Treatment Centers Southeast Lp | Clinic/Center | 2443 Monarch Dr, Laredo, TX 78045-6329 | 2017-03-28 |
| 1134667264 | Renal Treatment Centers Southeast Lp | Clinic/Center | 2860 Us Highway 83, Zapata, TX 78076 | 2017-02-09 |
| 1528517752 | Renal Treatment Centers Southeast Lp | Clinic/Center | 404 S Veterans Blvd, Ste D, Edinburg, TX 78539 | 2016-09-29 |
| 1902353543 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1006 E Interstate Highway 2, Donna, TX 78537-4153 | 2016-09-01 |
| 1285087189 | Renal Treatment Centers Southeast Lp | Clinic/Center | 6626 Antoine Dr, Houston, TX 77091-1206 | 2016-07-15 |
| 1992134340 | Renal Treatment Centers Southeast Lp | Clinic/Center | 5406 Highway 280, Suite D107, Birmingham, AL 35242-6592 | 2013-11-06 |
| 1538503008 | Renal Treatment Centers Southeast Lp | Clinic/Center | 7580 Fannin St Ste 200, Houston, TX 77054-1900 | 2013-04-26 |
| 1881938207 | Renal Treatment Centers Southeast Lp | Clinic/Center | 115 Wrights St Ste A, Hot Springs, AR 71913-6240 | 2012-11-26 |
| 1891039210 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1114 W Washington St Nw, Camden, AR 71701-3827 | 2012-11-26 |
| Street Address |
12430 STATE HIGHWAY 249 STE H |
| City | HOUSTON |
| State | TX |
| Zip Code | 77086-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084004 | Millicent Andrea Dallas | Driver | 10830 Heather Hill Dr, Houston, TX 77086 | 2018-05-23 |
| 1710480983 | Llj Pharmacy | Pharmacy | 13420 Tomball Pkwy Ste K, Houston, TX 77086 | 2018-03-14 |
| 1588170351 | Robert Gopie | Dentist | Brident Dental, 13327 Tomball Parkway, Houston, TX 77086 | 2017-12-15 |
| 1265952667 | Margaret M Wilson | Speech-Language Pathologist | 4100 N Sam Houston Parkway W Suite 240, Houston, TX 77086 | 2017-06-27 |
| 1376904920 | Houston Compounding Pharmacy Inc | Pharmacy | 14002 Tomball Pkwy, #a, Houston, TX 77086 | 2016-03-10 |
| 1629456934 | Ina Healthcare Services | Non-emergency Medical Transport (VAN) | 10810 Coral Stone Road, Houston, TX 77086 | 2015-05-07 |
| 1831582659 | Christine Kim Pinyopusarerk | Dentist | 11740 State Highway 249 Ste A, Houston, TX 77086 | 2015-03-18 |
| 1790121390 | Antoine Health Clinic Inc. | Chiropractor | 11003 Antoine Dr. Ste.m, Houston, TX 77086 | 2013-05-22 |
| 1336583772 | Harshil Patel | Dentist | 13327 Tomball Parkway, Houston, TX 77086 | 2013-04-27 |
| 1316297583 | Abundantchanges | Community/Behavioral Health | 100002 Port Angeles Drive, Houston, TX 77086 | 2012-09-14 |
| Find all providers in zip 77086 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312559 | Usrc Houston Newco Home LLC | Clinic/Center | 2000 Crawford St Ste 777, Houston, TX 77002-9006 | 2020-06-29 |
| 1467085167 | Tanglewilde Dialysis Center, LLC | Clinic/Center | 2620 Tanglewilde St Ste 110, Houston, TX 77063-3203 | 2020-02-20 |
| 1477185957 | South Belt Kidney Center LLC | Clinic/Center | 3327 S Sam Houston Pkwy E Ste 200, Houston, TX 77047-6504 | 2020-02-12 |
| 1679047518 | Fresenius Medical Care Market Street Dialysis, LLC | Clinic/Center | 12098 East Fwy, Houston, TX 77029-1916 | 2019-01-14 |
| 1922575323 | Fresenius Medical Care Ella, LLC | Clinic/Center | 1900 North Loop W Ste 200, Houston, TX 77018-8117 | 2018-10-24 |
| 1821575077 | Tolland Dialysis LLC | Clinic/Center | 4751 W Fuqua St, Houston, TX 77045-6104 | 2018-07-20 |
| 1053801225 | Dialyspa Vii LLC | Clinic/Center | 1411 Bonner St., Houston, TX 77058 | 2018-05-14 |
| 1366943847 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 8700 S Gessner Rd Ste 300, Houston, TX 77074-2916 | 2018-02-21 |
| 1548774433 | Bio-medical Applications of Texas, Inc | Clinic/Center | 10505 Jones Rd, Houston, TX 77065-4211 | 2017-11-30 |
| 1861905408 | Clear Lake Dialysis Center | Clinic/Center | 1050 Gemini St, Houston, TX 77058-2706 | 2017-11-06 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on RENAL TREATMENT CENTERS SOUTHEAST LP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.