OrganizationActive
Dva Healthcare Renal Care Inc
NPI 1124080486 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Oklahoma City, OK
Provider details
- NPI number
- 1124080486
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp Licensure & Certification(615) 341-6641
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
319 Sw 59th St
Oklahoma City, OK 73109-8301
Phone: (405) 634-3708
Fax: (405) 636-1211
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Oklahoma City South Dialysis
- Doing business as
- Oklahoma City South Dialysis
Registry dates
- Enumerated
- 2006-04-03
- Last updated
- 2024-12-19
- Certified
- 2024-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.