NPI age
17 years
Enumerated 2008-09-18
● Active Type 2 · Organization
Renal Center Of Waterton, Lllp
Renal Center Of Waterton, Lllp is 1 of 1165 clinic/center organizations in Texas.
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
2025-06-17
Source: monthly bulk 2026-05
How this organization compares
Across 1165 active clinic/center providers in Texas.
NPI age
17 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-09Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
2895 Shiloh Rd
Tyler, TX 757032936
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 370277569
Authorized official
Samuel Wey
Vp Licensure & Certification
📞 6153416641
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 280420501 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Renal Center of Waterton
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 1165 Clinic/Center providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.