P Praxis·MD
● Active Type 2 · Organization

Renal Treatment Centers-Southeast, Lp

Clinic/Center·Lake Jackson, TX· NPI 1770990749 · Enumerated 2014 · 11 years on NPI
Renal Treatment Centers-Southeast, Lp is 1 of 1165 clinic/center organizations in Texas.
NPI age
11 years
Enumerated 2014-07-22
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wey
Vp Licensure&certification
Last NPPES update
2024-04-22
Source: monthly bulk 2026-05

How this organization compares

Across 1165 active clinic/center providers in Texas.

NPI age
11 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2014 → 2026

2014-07Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
450 This Way St, Ste A
Lake Jackson, TX 775665152
📞 9792996565fax 9792996568
Mailing address
5200 Virginia Way, L&c Department
Brentwood, TN 370277569

Authorized official

Samuel T Wey
Vp Licensure&certification
📞 6153416641

Specialties

  • Clinic/Center Primary
    Definition to come...
    TX license #110303 taxonomy 261QE0700X

Identifiers

TypeValueNotes
01 (TX) 3454654-01 MEDICAID

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Lake Jackson Dialysis
    Type code 3 recorded 2018-08-27
  • Lake Jackson Dialysis
    Type code 3 recorded 2014-07-22

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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