54
License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL Profession Roster Report Order By Name End Stage Renal Disease Facility LIC# Selected Address(MA) Phone Status/Secondary Status Expires Rank Date Status Date Orig. Date Name ACE DIALYSIS 110253 2814415016 14512 LEE ROAD 07/31/2022 07/29/2014 07/29/2014 06/29/2020 Current HUMBLE, TX 77396 ALICE RENAL CENTER 008349 3616641723 2345 ALICE REGIONAL BOULEVARD 04/30/2022 04/14/2006 04/14/2006 12/14/2011 Current ALICE, TX 78332 ALLEN DIALYSIS 110182 4693426709 201 S JUPITER ROAD 03/31/2021 03/11/2013 03/11/2013 03/05/2019 Current ALLEN, TX 75002 ALVIN DIALYSIS CENTER 006057 2813880707 2625 SOUTH LOOP 35 SUITE 154 10/31/2020 10/06/1997 10/06/1997 12/10/2014 Current ALVIN, TX 77511 ALVIN DIALYSIS RENAL 110393 2812451123 100 EAST HOUSE STREET 09/30/2020 09/29/2016 09/29/2016 09/30/2016 Current ALVIN, TX 77511 AMARILLO DIALYSIS 110095 8063580051 8604 S COULTER STREET 06/30/2021 06/01/2011 09/09/2011 12/22/2014 Current AMARILLO, TX 79119 AMERI-TECH KIDNEY CENTER - ARLINGTON 110196 8172657115 1138 SOUTH BOWEN ROAD 08/31/2021 08/01/2013 08/06/2013 01/09/2015 Current ARLINGTON, TX 76013 AMERI-TECH KIDNEY CENTER - BEDFORD 110197 8175452044 1600 CENTRAL DRIVE SUITE 130 08/31/2021 08/01/2013 08/06/2013 08/01/2013 Current BEDFORD, TX 76022 AMERICAS DIALYSIS 110049 9158728185 715 N AMERICAS AVENUE 08/31/2020 08/25/2010 08/25/2010 08/14/2018 Current EL PASO, TX 79907 ANGELO KIDNEY CONNECTION HOME THERAPIES PLLC 110564 8063688620 3626 50TH STREET 05/31/2022 05/11/2020 05/11/2020 05/11/2020 Current LUBBOCK, TX 79413 ANGELO KIDNEY CONNECTION PLLC 110050 3256172496 2901 SHERWOOD WAY SUITE 100 08/31/2020 08/27/2010 08/27/2010 06/28/2019 Current SAN ANGELO, TX 76901 ANGLETON DIALYSIS 110319 9798644330 102 EAST HOSPITAL DRIVE 07/31/2022 08/01/2014 08/01/2014 07/16/2020 Current ANGLETON, TX 77515 AQUA DIALYSIS FORT BEND LLC 110547 6824294508 12220 MURPHY ROAD SUITE R 03/31/2021 04/01/2019 04/01/2019 09/11/2019 Current STAFFORD, TX 77477 AQUA DIALYSIS LIVINGSTON LLC 110568 6824294508 209 WEST PARK 02/28/2022 03/01/2020 06/08/2020 03/01/2020 Current LIVINGSTON, TX 77351 AQUA DIALYSIS LUFKIN LLC 110569 6824294508 700 S JOHN REDDITT DRIVE 02/28/2022 03/01/2020 06/08/2020 03/01/2020 Current LUFKIN, TX 75904 Page 1 of 54 7/29/2020

Profession Roster Report · 2020-05-18 · Profession Roster Report Order By Name End Stage Renal Disease Facility LIC ... 110095 AMARILLO DIALYSIS 8604 S COULTER STREET 8063580051

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Page 1: Profession Roster Report · 2020-05-18 · Profession Roster Report Order By Name End Stage Renal Disease Facility LIC ... 110095 AMARILLO DIALYSIS 8604 S COULTER STREET 8063580051

License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

ACE DIALYSIS110253 281441501614512 LEE ROAD 07/31/2022 07/29/2014 07/29/2014 06/29/2020 Current

HUMBLE, TX 77396

ALICE RENAL CENTER008349 36166417232345 ALICE REGIONAL BOULEVARD 04/30/2022 04/14/2006 04/14/2006 12/14/2011 Current

ALICE, TX 78332

ALLEN DIALYSIS110182 4693426709201 S JUPITER ROAD 03/31/2021 03/11/2013 03/11/2013 03/05/2019 Current

ALLEN, TX 75002

ALVIN DIALYSIS CENTER006057 28138807072625 SOUTH LOOP 35 SUITE 154 10/31/2020 10/06/1997 10/06/1997 12/10/2014 Current

ALVIN, TX 77511

ALVIN DIALYSIS RENAL110393 2812451123100 EAST HOUSE STREET 09/30/2020 09/29/2016 09/29/2016 09/30/2016 Current

ALVIN, TX 77511

AMARILLO DIALYSIS110095 80635800518604 S COULTER STREET 06/30/2021 06/01/2011 09/09/2011 12/22/2014 Current

AMARILLO, TX 79119

AMERI-TECH KIDNEY CENTER -

ARLINGTON

110196 81726571151138 SOUTH BOWEN ROAD 08/31/2021 08/01/2013 08/06/2013 01/09/2015 Current

ARLINGTON, TX 76013

AMERI-TECH KIDNEY CENTER -

BEDFORD

110197 81754520441600 CENTRAL DRIVE SUITE 130 08/31/2021 08/01/2013 08/06/2013 08/01/2013 Current

BEDFORD, TX 76022

AMERICAS DIALYSIS110049 9158728185715 N AMERICAS AVENUE 08/31/2020 08/25/2010 08/25/2010 08/14/2018 Current

EL PASO, TX 79907

ANGELO KIDNEY CONNECTION

HOME THERAPIES PLLC

110564 80636886203626 50TH STREET 05/31/2022 05/11/2020 05/11/2020 05/11/2020 Current

LUBBOCK, TX 79413

ANGELO KIDNEY CONNECTION

PLLC

110050 32561724962901 SHERWOOD WAY SUITE 100 08/31/2020 08/27/2010 08/27/2010 06/28/2019 Current

SAN ANGELO, TX 76901

ANGLETON DIALYSIS110319 9798644330102 EAST HOSPITAL DRIVE 07/31/2022 08/01/2014 08/01/2014 07/16/2020 Current

ANGLETON, TX 77515

AQUA DIALYSIS FORT BEND LLC110547 682429450812220 MURPHY ROAD SUITE R 03/31/2021 04/01/2019 04/01/2019 09/11/2019 Current

STAFFORD, TX 77477

AQUA DIALYSIS LIVINGSTON LLC110568 6824294508209 WEST PARK 02/28/2022 03/01/2020 06/08/2020 03/01/2020 Current

LIVINGSTON, TX 77351

AQUA DIALYSIS LUFKIN LLC110569 6824294508700 S JOHN REDDITT DRIVE 02/28/2022 03/01/2020 06/08/2020 03/01/2020 Current

LUFKIN, TX 75904

Page 1 of 547/29/2020

Page 2: Profession Roster Report · 2020-05-18 · Profession Roster Report Order By Name End Stage Renal Disease Facility LIC ... 110095 AMARILLO DIALYSIS 8604 S COULTER STREET 8063580051

License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

ARA EAST EL PASO DIALYSIS

CENTER

110518 91559100531120 MCRAE BLVD BLDG D 12/31/2020 12/20/2018 12/20/2018 12/20/2018 Current

EL PASO, TX 79925

ARLINGTON DIALYSIS008269 81746961001250 EAST PIONEER PARKWAY

SUITE 700

09/30/2021 09/09/2005 09/09/2005 09/16/2019 Current

ARLINGTON, TX 76010

ASCARATE DIALYSIS110458 91588117967281 ALAMEDA AVENUE 10/31/2021 10/25/2017 10/25/2017 10/25/2017 Current

EL PASO, TX 79915

ATASCOCITA DIALYSIS110461 83244500205414 FM 1960 ROAD E 11/30/2021 11/13/2017 11/13/2017 11/13/2017 Current

HUMBLE, TX 77346

AVIAN DIALYSIS110402 71377402538486 BELLAIRE BOULEVARD 12/31/2020 12/01/2016 12/01/2016 12/01/2016 Current

HOUSTON, TX 77036

BALCH SPRINGS DIALYSIS110184 972913876712001 ELAM ROAD 03/31/2021 03/25/2013 03/25/2013 03/26/2013 Current

BALCH SPRINGS, TX 75180

BALCONES DIALYSIS110340 512342109711150 RESEARCH BOULEVARD

SUITE 201

11/30/2021 11/02/2015 11/02/2015 10/23/2019 Current

AUSTIN, TX 78759

BARKER CYPRESS DIALYSIS110483 281856619818003 LONGENBAUGH DRIVE 05/31/2022 05/15/2018 05/15/2018 05/15/2018 Current

CYPRESS, TX 77433

BAY AREA DIALYSIS SERVICES AT

ALICE

007244 3616688055901 MEDICAL CENTER BLVD 11/30/2021 12/01/2000 12/01/2000 10/24/2019 Current

ALICE, TX 78332

BAY AREA DIALYSIS SERVICES AT

ARANSAS PASS

006822 3617580029709 SOUTH COMMERCIAL SUITE C1 01/31/2021 01/27/1999 01/27/1999 07/03/2018 Current

ARANSAS PASS, TX 78336

BAY AREA DIALYSIS SERVICES AT

CORPUS CHRISTI

110310 36188875471647 SOUTH ALAMEDA 05/31/2021 05/15/2015 05/15/2015 05/24/2019 Current

CORPUS CHRISTI, TX 78404

BAY AREA DIALYSIS SERVICES AT

KINGSVILLE

110260 36159541782213 SOUTH BRAHMA BOULEVARD 08/31/2022 08/29/2014 08/29/2014 09/05/2014 Current

KINGSVILLE, TX 78363

BAY AREA DIALYSIS SERVICES AT

SINTON

006186 3613641968222 EAST SINTON STREET 05/31/2021 06/06/1997 06/06/1997 11/25/1997 Current

SINTON, TX 78387

BAY AREA DIALYSIS SERVICES AT

SOUTHSIDE

006187 36181401684112 SOUTH STAPLES SUITE A-B 05/31/2022 06/06/1997 06/06/1997 06/01/2020 Current

Page 2 of 547/29/2020

Page 3: Profession Roster Report · 2020-05-18 · Profession Roster Report Order By Name End Stage Renal Disease Facility LIC ... 110095 AMARILLO DIALYSIS 8604 S COULTER STREET 8063580051

License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

CORPUS CHRISTI, TX 78411

BAY CITY REGIONAL DIALYSIS

CENTER

110057 9793230818200 MEDICAL CENTER COURT

SUITE 200

11/30/2020 11/16/2010 11/16/2010 11/20/2018 Current

BAY CITY, TX 77414

BAYLOR COLLEGE OF MEDICINE

SCOTT STREET DIALYSIS

008624 71374742686120 SCOTT STREET SUITE F 01/31/2022 01/31/2008 01/31/2008 01/21/2020 Current

HOUSTON, TX 77021

BAYMONT DIALYSIS110367 281573253910424 INTERSTATE 10E SUITE 100 05/31/2022 05/09/2016 05/09/2016 05/27/2016 Current

BAYTOWN, TX 77523

BAYOU CITY DIALYSIS008272 713695898610655 EASTEX FREEWAY 09/30/2021 09/15/2005 09/15/2005 09/16/2019 Current

HOUSTON, TX 77093

BAYSHORE DIALYSIS CENTER110409 28148729474901 EAST SAM HOUSTON

PARKWAY SOUTH

12/31/2020 12/21/2016 12/21/2016 03/15/2019 Current

PASADENA, TX 77505

BAYTOWN DIALYSIS110018 28142208204665 GARTH ROAD SUITE 900 09/30/2021 09/08/2009 09/08/2009 09/08/2009 Current

BAYTOWN, TX 77521

BAYTOWN NORTH110183 28142141084816 EASTCHASE STREET 03/31/2021 03/14/2013 03/14/2013 04/17/2019 Current

BAYTOWN, TX 77521

BEAR CREEK DIALYSIS008383 28185950204978 NORTH HIGHWAY 6 SUITE I 07/31/2022 07/27/2006 07/27/2006 07/27/2006 Current

HOUSTON, TX 77084

BEAUMONT KIDNEY CENTER007793 40984020201085 SOUTH 23RD STREET 10/31/2020 10/03/2001 10/03/2001 01/15/2014 Current

BEAUMONT, TX 77707

BEECHNUT DIALYSIS CENTER008004 71377252288325 BEECHNUT STREET 11/30/2021 11/10/2003 11/10/2003 01/22/2020 Current

HOUSTON, TX 77036

BEEVILLE RENAL CENTER008348 36135841751905 NORTH FRONTAGE ROAD 04/30/2022 04/14/2006 04/14/2006 01/17/2012 Current

BEEVILLE, TX 78102

BELLAIRE DIALYSIS110346 281575800014412 BELLAIRE BOULEVARD 12/31/2021 12/11/2015 12/11/2015 12/11/2015 Current

HOUSTON, TX 77083

BELLMEAD KIDNEY DISEASE

CENTER

000166 2548671974137 EASTGATE PLAZA 01/31/2021 09/01/1996 09/01/1996 01/16/2019 Current

BELLMEAD, TX 76705

BINZ HOME TRAINING110056 71352951551213 HERMANN DRIVE SUITE 180 10/31/2020 10/29/2010 10/29/2010 10/29/2010 Current

HOUSTON, TX 77004

BLALOCK DIALYSIS CENTER INC110188 71346366111170 BLALOCK ROAD 05/31/2021 05/07/2013 05/07/2013 06/13/2019 Current

HOUSTON, TX 77055

Page 3 of 547/29/2020

Page 4: Profession Roster Report · 2020-05-18 · Profession Roster Report Order By Name End Stage Renal Disease Facility LIC ... 110095 AMARILLO DIALYSIS 8604 S COULTER STREET 8063580051

License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

BLUEBONNET DIALYSIS110137 51292673783601 MANOR ROAD 06/30/2022 06/18/2012 06/18/2012 05/13/2020 Current

AUSTIN, TX 78723

BMA ALAMO CITY110214 2105271308805 CAMDEN ST 11/30/2021 11/01/2013 11/01/2013 01/15/2019 Current

SAN ANTONIO, TX 78215

BMA CLIFFVIEW DIALYSIS CENTER000128 91553264111225 EAST CLIFF BUILDING 1 SUITE

A

04/30/2021 09/01/1996 09/01/1996 04/09/2019 Current

EL PASO, TX 79902

BMA CORSICANA000267 90387272451321 WEST 2ND AVENUE 06/30/2022 05/15/1997 05/15/1997 08/25/1997 Current

CORSICANA, TX 75110

BMA EAGLE PASS110221 83077395453065 MEGAN STREET 11/30/2021 11/27/2013 11/27/2013 11/27/2013 Current

EAGLE PASS, TX 78852

BMA GATEWAY000111 915599289110767 GATEWAY WEST SUITE 600 10/31/2020 09/01/1996 09/01/1996 12/06/2018 Current

EL PASO, TX 79935

BMA GUADALUPE110224 2102129300626 MERIDA STREET 11/30/2021 11/01/2013 12/04/2013 11/05/2019 Current

SAN ANTONIO, TX 78207

BMA NORTHWEST BEXAR COUNTY110055 21033877425131 MEDICAL DRIVE SUITE 110 10/31/2020 10/27/2010 10/27/2010 10/27/2010 Current

SAN ANTONIO, TX 78229

BMA OF DALLAS CENTRAL007122 21438194947610 MILITARY PARKWAY 10/31/2021 10/14/1999 10/14/1999 04/28/2000 Current

DALLAS, TX 75227

BMA OF DALLAS SOUTH000183 21494229001150 NORTH BISHOP AVENUE SUITE

200

10/31/2020 09/01/1996 09/01/1996 08/15/1997 Current

DALLAS, TX 75208

BMA OF SOUTH DALLAS COUNTY000195 21437124851111 WEST LEDBETTER STREET

SUITE 800

10/31/2020 09/01/1996 09/01/1996 08/15/1997 Current

DALLAS, TX 75224

BMA RIO GRANDE CITY110047 95648763602533 CENTRAL PALM DRIVE 07/31/2022 07/29/2010 07/29/2010 07/29/2010 Current

RIO GRANDE CITY, TX 78582

BMA SOUTH PLAINS007123 80679314146630 QUAKER AVENUE SUITE 102 10/31/2020 10/14/1999 10/14/1999 10/10/2014 Current

LUBBOCK, TX 79413

BMA SOUTHEAST SAN ANTONIO007887 21064823234626 EAST SOUTHCROSS 10/31/2020 08/17/2017 10/31/2002 03/13/2019 Current

SAN ANTONIO, TX 78222

BMA SOUTHWEST HOUSTON008112 71354155418303 CREEKBEND 09/30/2021 09/07/2004 09/07/2004 03/11/2020 Current

HOUSTON, TX 77071

BMA WESTMINSTER DIALYSIS000159 281493904612121 WESTHEIMER SUITE 138 10/31/2020 09/01/1996 09/01/1996 10/09/2018 Current

HOUSTON, TX 77077

Page 4 of 547/29/2020

Page 5: Profession Roster Report · 2020-05-18 · Profession Roster Report Order By Name End Stage Renal Disease Facility LIC ... 110095 AMARILLO DIALYSIS 8604 S COULTER STREET 8063580051

License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

BOERNE DIALYSIS CENTER008598 83024914911369 SOUTH MAIN STREET SUITE

101

12/31/2021 12/05/2007 12/05/2007 11/26/2019 Current

BOERNE, TX 78006

BONHAM DIALYSIS008243 9035834700201 WEST 5TH STREET 07/31/2021 07/20/2005 07/20/2005 08/02/2019 Current

BONHAM, TX 75418

BRAZORIA COUNTY DIALYSIS LLP110076 9792973777405 THIS WAY STREET 05/31/2021 05/06/2011 05/06/2011 07/31/2019 Current

LAKE JACKSON, TX 77566

BRAZOS KIDNEY DISEASE CENTER008154 25475255032329 NORTH 39TH 01/31/2021 01/04/2005 01/04/2005 12/18/2018 Current

WACO, TX 76708

BRENHAM DIALYSIS110060 97925172872815 HIGHWAY 36 SOUTH 12/31/2020 12/08/2010 12/08/2010 12/10/2018 Current

BRENHAM, TX 77833

BRIARCREST DIALYSIS110307 97926049081640 BRIARCREST DRIVE SUITE 100 05/31/2021 05/01/2015 05/01/2015 01/28/2019 Current

BRYAN, TX 77802

BROADWAY KIDNEY DISEASE

CENTER

110213 21080598808840 TRADEWAY ST 11/30/2021 11/01/2013 11/01/2013 02/26/2020 Current

SAN ANTONIO, TX 78217

BRODIE LANE DIALYSIS110545 51228065059010 BRODIE LANE BLDG A 08/31/2021 08/23/2019 08/23/2019 08/23/2019 Current

AUSTIN, TX 78748

BROOKHOLLOW DIALYSIS007958 71368130434918 WEST 34TH STREET ATTN

L&C DEPARTMENT

06/30/2021 06/19/2003 06/19/2003 10/03/2019 Current

HOUSTON, TX 77092

BROOKRIVER DIALYSIS008435 21495177898101 BROOKRIVER DRIVE 12/31/2020 12/15/2006 12/15/2006 12/17/2010 Current

DALLAS, TX 75247

BROWNFIELD DIALYSIS110162 8066376373710 E FELT STREET 06/30/2022 06/01/2012 06/01/2012 05/08/2020 Current

BROWNFIELD, TX 79316

BROWNSVILLE RENAL CENTER006361 95654280942945 CENTRAL BOULEVARD 11/30/2021 12/01/1997 12/01/1997 10/25/2019 Current

BROWNSVILLE, TX 78520

CANUTILLO DIALYSIS110514 91587749007251 SOUTH DESERT BOULEVARD 11/30/2020 11/26/2018 11/26/2018 11/26/2018 Current

CANUTILLO, TX 79835

CARRIZO SPRINGS KIDNEY DISEASE

CLINIC

110219 8308763939409 SOUTH 7TH STREET 11/30/2021 11/01/2013 11/25/2013 11/21/2019 Current

CARRIZO SPRINGS, TX 78834

CARROLLTON DIALYSIS008389 97224370011544 VALWOOD PARKWAY SUITE

114

08/31/2020 08/24/2006 08/24/2006 08/24/2006 Current

CARROLLTON, TX 75006

Page 5 of 547/29/2020

Page 6: Profession Roster Report · 2020-05-18 · Profession Roster Report Order By Name End Stage Renal Disease Facility LIC ... 110095 AMARILLO DIALYSIS 8604 S COULTER STREET 8063580051

License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

CARROLLTON REGIONAL DIALYSIS

CENTER LLC

110330 97224276481128 NORTH I35 EAST 09/30/2021 09/09/2015 09/09/2015 05/04/2017 Current

CARROLLTON, TX 75006

CARTHAGE DIALYSIS CENTER000076 90369345111614 SOUTH MARKET STREET 10/31/2021 09/01/1996 09/01/1996 11/18/1997 Current

CARTHAGE, TX 75633

CEDAR HILL DIALYSIS110396 9722915817439 EAST FM 1382 10/31/2020 10/31/2016 10/31/2016 10/31/2016 Current

CEDAR HILL, TX 75104

CEDAR PARK DIALYSIS CENTER008612 51252884781720 EAST WHITESTONE BLVD 01/31/2022 01/07/2008 01/07/2008 01/07/2008 Current

CEDAR PARK, TX 786137640

CENTRAL CITY DIALYSIS110258 91553385031310 MURCHISON DRIVE SUITE 200 08/31/2020 08/14/2014 08/14/2014 04/14/2015 Current

EL PASO, TX 79902

CENTRAL FORT WORTH DIALYSIS110140 81781003791000 SAINT LOUIS AVENUE SUITE

101

06/30/2022 06/29/2012 06/29/2012 06/11/2020 Current

FORT WORTH, TX 76104

CENTRAL HOUSTON DIALYSIS008313 7139248188610 SOUTH WAYSIDE UNIT B 01/31/2022 01/12/2006 01/12/2006 01/13/2020 Current

HOUSTON, TX 77011

CHAMPIONS DIALYSIS110037 28144484394427 FM 1960 ROAD WEST 03/31/2022 03/16/2010 03/16/2010 02/18/2020 Current

HOUSTON, TX 77068

CHANNELVIEW DIALYSIS007964 2818600600777 SHELDON ROAD SUITE C 07/31/2021 07/03/2003 07/03/2003 07/01/2019 Current

CHANNELVIEW, TX 77530

CHILDRENS DIALYSIS CLINIC OF

CENTRAL TEXAS

008488 51252442131301 BARBARA JORDAN BLVD SUITE

103

03/31/2021 03/27/2007 03/27/2007 03/27/2007 Current

AUSTIN, TX 78723

CHILDRENS KIDNEY CENTER AT

CHRISTUS SANTA ROSA CHILDRENS

HOSPITA

007807 2107044854333 NORTH SANTA ROSA 12/31/2021 12/06/2001 12/06/2001 12/16/2019 Current

SAN ANTONIO, TX 78207

CHILDRENS MEDICAL CENTER

DALLAS

110353 21445680151935 MEDICAL DISTRICT DRIVE

4TH FLOOR B-TOWER

01/31/2022 01/27/2016 01/27/2016 01/28/2016 Current

DALLAS, TX 75235

CHILDRENS MEMORIAL HERMANN

DIALYSIS CENTER

006272 71370400936411 FANNIN STREET 11/30/2021 11/04/1997 11/04/1997 12/03/2019 Current

HOUSTON, TX 77030

CHILDRESS REGIONAL MEDICAL

CENTER DIALYSIS

008622 9409377099910 REAR OAK LANE 01/31/2022 12/31/2007 12/31/2007 01/13/2012 Current

CHILDRESS, TX 79201

Page 6 of 547/29/2020

Page 7: Profession Roster Report · 2020-05-18 · Profession Roster Report Order By Name End Stage Renal Disease Facility LIC ... 110095 AMARILLO DIALYSIS 8604 S COULTER STREET 8063580051

License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

CIELO VISTA DIALYSIS007893 91577168937200 GATEWAY EAST SUITE B 11/30/2021 11/18/2002 11/18/2002 10/29/2019 Current

EL PASO, TX 79915

CITY CENTER DIALYSIS110428 713647064110405 KATY FWY SUITE 140 05/31/2021 05/09/2017 05/09/2017 05/09/2017 Current

HOUSTON, TX 77024

CLEAR CREEK DIALYSIS110324 9798260477220 COTTONWOOD DRIVE 07/31/2021 07/20/2015 07/20/2015 07/20/2015 Current

HEMPSTEAD, TX 77445

CLEAR LAKE KIDNEY CENTER008066 28155449001550 LIVE OAK 05/31/2021 05/20/2004 05/20/2004 07/09/2019 Current

WEBSTER, TX 77598

CLEBURNE DIALYSIS CENTER007884 8175581593160 JACK BURTON HIGHWAY 10/31/2021 10/16/2002 10/16/2002 12/03/2002 Current

CLEBURNE, TX 76031

CLEVELAND DIALYSIS CENTER110315 2816599679202 E FORT WORTH STREET 06/30/2021 06/19/2015 06/19/2015 06/22/2015 Current

CLEVELAND, TX 77327

CLOVERLEAF DIALYSIS110297 713450087413525 EAST FREEWAY SUITE A 02/28/2021 02/05/2015 02/05/2015 02/05/2015 Current

HOUSTON, TX 77015

CLUTCH CITY DIALYSIS CENTER110115 71374805545910 SCOTT STREET SUITE A 02/28/2022 02/16/2012 02/16/2012 02/16/2012 Current

HOUSTON, TX 77021

COASTAL DIALYSIS008343 36185594494300 SOUTH PADRE ISLAND DRIVE

SUITE 2-2

04/30/2022 04/14/2006 04/14/2006 12/14/2011 Current

CORPUS CHRISTI, TX 78411

COLLEGE PARK DIALYSIS110226 936273335017191 ST LUKES WAY SUITE 100 12/31/2021 12/09/2013 12/09/2013 11/20/2019 Current

THE WOODLANDS, TX 77384

COLLIN COUNTY DIALYSIS CENTER000049 97242314473420 AVENUE K SUITE 150 05/31/2022 09/01/1996 09/01/1996 04/17/2020 Current

PLANO, TX 75074

COMPLETE DIALYSIS CARE110255 4323321632607 EAST 7TH STREET 08/31/2020 07/14/2016 08/01/2014 07/14/2016 Current

ODESSA, TX 79761

CONROE DIALYSIS CENTER110321 9367602240233 I 45 NORTH 07/31/2021 07/07/2015 07/07/2015 07/07/2015 Current

CONROE, TX 77304

COOK CHILDRENS MEDICAL CENTER110129 68288539441500 COOPER STREET 04/30/2022 04/24/2012 04/24/2012 03/18/2020 Current

FORT WORTH, TX 76104

CORPUS CHRISTI DIALYSIS008341 36185549112733 SWANTNER DRIVE 04/30/2022 04/14/2006 04/14/2006 01/31/2012 Current

CORPUS CHRISTI, TX 78404

CORYELL DIALYSIS110349 2544042090224 MEMORIAL DRIVE 12/31/2021 12/29/2015 12/29/2015 01/02/2020 Current

GATESVILLE, TX 76528

COWTOWN WEST DIALYSIS110286 81757009162400 LANDS END BLVD SUITE 131 12/31/2020 12/23/2014 12/23/2014 12/23/2014 Current

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

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LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

FORT WORTH, TX 76116

CROCKETT DIALYSIS CENTER110520 93654608492001 EAST BOWIE AVENUE 12/31/2020 01/01/2019 01/01/2019 01/02/2019 Current

CROCKETT, TX 75835

CROSBY DIALYSIS FACILITY008166 28132880716107 FM 2100 02/28/2021 02/01/2005 02/01/2005 02/17/2011 Current

CROSBY, TX 77532

CROSSTIMBERS DIALYSIS110304 71369544134400 A NORTH FREEWAY SUITE 100 08/31/2021 08/14/2013 08/14/2013 08/14/2013 Current

HOUSTON, TX 77002

CUERO LAKEVIEW DIALYSIS008734 36127586481105 EAST BROADWAY STREET 12/31/2020 12/17/2008 12/17/2008 05/27/2015 Current

CUERO, TX 77954

CYFAIR DIALYSIS CENTER006659 28151705279110 JONES ROAD SUITE 110 08/31/2020 09/01/1998 09/01/1998 09/14/1998 Current

HOUSTON, TX 77065

CYFAIR DIALYSIS CENTER110572 34627703359110 JONES ROAD SUITE 104 07/31/2022 07/23/2020 07/23/2020 07/23/2020 Current

HOUSTON, TX 77065

CYPRESS CREEK DIALYSIS000112 28136312629449 GROGANS MILL ROAD 11/30/2020 09/01/1996 09/01/1996 08/15/1997 Current

THE WOODLANDS, TX 77380

CYPRESS FAIRFIELD DIALYSIS110285 281758138015103 MASON ROAD SUITE D5 12/31/2020 12/22/2014 12/22/2014 12/22/2014 Current

CYPRESS, TX 77433

CYPRESS WOODS NORTHWEST

DIALYSIS

008757 281890254020320 NORTHWEST FREEWAY

SUITE 100

02/28/2021 02/26/2009 02/26/2009 02/01/2011 Current

HOUSTON, TX 77065

DAIRY ASHFORD DIALYSIS110401 281679184812606 WESTPARK DRIVE 11/30/2020 11/29/2016 11/29/2016 11/29/2016 Current

HOUSTON, TX 77082

DALLAS EAST DIALYSIS110423 21466094133402 NORTH BUCKNER BOULEVARD

SUITE 308

04/30/2021 04/17/2017 04/17/2017 04/17/2017 Current

DALLAS, TX 75228

DALLAS HOME TRAINING110101 21446672336200 LBJ FREEWAY SUITE 100 12/31/2020 10/20/2011 10/20/2011 12/28/2018 Current

DALLAS, TX 75240

DALLAS NORTH DIALYSIS CENTER008070 972918010011886 GREENVILLE AVENUE SUITE

100B

05/31/2021 06/01/2004 06/01/2004 06/06/2019 Current

DALLAS, TX 75243

DAVITA CENTRAL DALLAS DIALYSIS110069 21473930049500 N CENTRAL EXPRESSWAY

SUITE 102

01/31/2021 01/01/2011 03/22/2011 06/14/2011 Current

DALLAS, TX 75231

DAVITA DOWNTOWN DALLAS

DIALYSIS

008427 21482822803515 SWISS AVENUE SUITE A 11/30/2020 11/27/2006 11/27/2006 10/29/2018 Current

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

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LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

DALLAS, TX 75204

DAVITA EAST DIALYSIS008408 915865636311989 PELLICANO DRIVE 10/31/2020 10/09/2006 10/09/2006 05/13/2011 Current

EL PASO, TX 79936

DECATUR HOME DIALYSIS LLC110498 94025217002301 SOUTH FM 51 SUITE 600 08/31/2020 08/31/2018 08/31/2018 08/31/2018 Current

DECATUR, TX 76234

DEERBROOK DIALYSIS008377 28131263629660 FM 1960 BYPASS ROAD WEST 06/30/2022 06/30/2006 06/30/2006 05/19/2020 Current

HUMBLE, TX 77338

DENISON DIALYSIS CENTER110419 9033370731123 NORTH US HIGHWAY 75 03/31/2021 03/10/2017 03/10/2017 03/10/2017 Current

DENISON, TX 75020

DENVER HARBOR DIALYSIS110302 71367031737065 EAST FREEWAY 03/31/2021 03/27/2015 03/27/2015 03/26/2019 Current

HOUSTON, TX 77020

DESOTO REGIONAL DIALYSIS

CENTER

110271 97278059912651 BOLTON BOONE DRIVE

BUILDING B

11/30/2020 11/06/2014 11/06/2014 06/05/2019 Current

DESOTO, TX 75115

DIALYSIS CARE OF GRAND PRAIRIE110262 9722642660402 N CARRIER PKWY SUITE 102 09/30/2020 09/15/2014 09/15/2014 09/15/2014 Current

GRAND PRAIRIE, TX 75050

DIALYSIS CARE OF GREENVILLE110446 90345500417215 I-30 SUITE N 09/30/2021 09/07/2017 09/07/2017 09/07/2017 Current

GREENVILLE, TX 75402

DIALYSIS CARE OF MCALLEN008347 9566876701411 LINDBERG AVENUE 04/30/2022 04/14/2006 04/14/2006 07/03/2012 Current

MCALLEN, TX 78501

DIALYSIS CARE OF MESQUITE110473 97228519092110 NORTH GALLOWAY AVENUE

SUITE 102

02/28/2022 02/14/2018 02/14/2018 02/14/2018 Current

MESQUITE, TX 75150

DIALYSIS CARE OF WEATHERFORD110284 81759969542107 FORT WORTH HIGHWAY 12/31/2020 12/22/2014 12/22/2014 12/22/2014 Current

WEATHERFORD, TX 76086

DIALYSIS CLINIC INC110418 9365987351171 LOOP 500 NORTH 02/28/2021 03/01/2017 03/01/2017 03/09/2017 Current

CENTER, TX 75935

DIALYSIS CLINIC INC006731 93656999004731 NORTHEAST STALLINGS DRIVE 11/30/2021 11/30/1998 11/30/1998 08/08/2014 Current

NACOGDOCHES, TX 75965

DIALYSIS COTTAGE110176 94061216421902 HOSPITAL BOULEVARD SUITE

D

12/31/2020 12/01/2012 01/25/2013 12/01/2012 Current

GAINESVILLE, TX 76240

DIALYSIS SERVICES OF WEST TEXAS008086 8065922090500 WEST 5TH STREET 07/31/2021 07/08/2004 07/08/2004 09/17/2004 Current

DENVER CITY, TX 79323

DIALYSPA BELLAIRE HOME110426 28150190816800 WEST LOOP SOUTH SUITE 190 05/31/2021 05/05/2017 05/05/2017 07/01/2019 Current

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

BELLAIRE, TX 77401

DIALYSPA II DBA DIALYSPA VINTAGE

PARK

110174 2816535850102 VINTAGE PARK BOULEVARD

BUILDING L SUITE A

12/31/2020 12/27/2012 12/27/2012 12/28/2012 Current

HOUSTON, TX 77030

DIALYSPA MEDICAL CENTER110027 71336418002453 SOUTH BRAESWOOD BLVD STE

100

12/31/2021 12/09/2009 12/09/2009 12/09/2009 Current

HOUSTON, TX 77030

DIALYSPA PEARLAND110350 34622952009223 WEST BROADWAY SUITE 109 01/31/2022 01/14/2016 01/14/2016 03/02/2020 Current

PEARLAND, TX 77584

DIALYSPA SUGARLAND110397 346309202513444 SOUTHWEST FREEWAY SUITE

1B

11/30/2020 11/04/2016 11/04/2016 11/04/2016 Current

SUGAR LAND, TX 77478

DIALYSPA THE HEIGHTS110480 71381487411411 BONNER 05/31/2022 05/01/2018 05/01/2018 05/01/2018 Current

HOUSTON, TX 77007

DIALYSPA THE WOODLANDS110146 832442250027172 I-45 NORTH 08/31/2020 08/20/2012 08/20/2012 10/08/2012 Current

OAK RIDGE NORTH, TX 77385

DIALYZE DIRECT SUGARLAND110341 732806999016545 SW FREEWAY SUITE 275 11/30/2021 11/09/2015 11/09/2015 12/05/2019 Current

SUGAR LAND, TX 77479

DIAMOND DIALYSIS110333 71329475535603 HIGHWAY 6 09/30/2021 09/15/2015 09/15/2015 11/14/2019 Current

MISSOURI CITY, TX 77459

DIAMOND DIALYSIS - STAFFORD110467 83298717933623 SOUTH MAIN STREET #100 12/31/2021 12/19/2017 12/19/2017 12/19/2017 Current

STAFFORD, TX 77477

DONNA DIALYSIS110405 95646125191006 EAST INTERSTATE HIGHWAY 2 12/31/2020 12/13/2016 12/13/2016 12/13/2016 Current

DONNA, TX 78537

DOWNTOWN HOUSTON DIALYSIS

CENTER

008104 71365509002207 CRAWFORD STREET 08/31/2021 08/20/2004 08/20/2004 08/19/2019 Current

HOUSTON, TX 77002

DOWNTOWN MIDLAND DIALYSIS110515 4322142440511 WEST MISSOURI AVENUE 11/30/2020 11/26/2018 11/26/2018 11/26/2018 Current

MIDLAND, TX 79701

DOWNTOWN SAN ANTONIO

DIALYSIS

008410 2102221260615 EAST QUINCY 10/31/2020 10/10/2006 10/10/2006 10/26/2018 Current

SAN ANTONIO, TX 78215

DRISCOLL CHILDRENS HOSPITAL

DIALYSIS UNIT

008106 36169469283533 SOUTH ALAMEDA STREET 08/31/2021 08/31/2004 08/31/2004 08/29/2019 Current

CORPUS CHRISTI, TX 78411

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

DRISCOLL CHILDRENS VALLEY

DIALYSIS CENTER

110249 95668812201120 EAST RIDGE ROAD 06/30/2022 06/12/2014 06/12/2014 01/17/2018 Current

MCALLEN, TX 78503

DUMAS DIALYSIS110159 8069352273109 BINKLEY AVENUE 06/30/2022 06/01/2012 10/05/2012 05/19/2020 Current

DUMAS, TX 79029

DUNCANVILLE DIALYSIS008723 9722964911270 EAST HWY 67 SUITE 100 11/30/2020 11/18/2008 11/18/2008 05/08/2017 Current

DUNCANVILLE, TX 75137

EASTCHASE DIALYSIS CENTER110239 81745903721451 EASTCHASE PARKWAY 03/31/2022 03/19/2014 03/19/2014 03/19/2014 Current

FORT WORTH, TX 76120

EASTLAND DIALYSIS CENTER110535 25462936002300 WEST COMMERCE STREET 03/31/2021 04/01/2019 04/01/2019 05/28/2019 Current

EASTLAND, TX 76448

EDINBURG CITRUS GROVE DIALYSIS110424 9563810078404 SOUTH VETERANS BOULEVARD

SUITE D

04/30/2021 04/19/2017 04/19/2017 04/19/2017 Current

EDINBURG, TX 78539

EDINBURG KIDNEY CENTER007911 95666812085406 SOUTH JACKSON ROAD 01/31/2022 01/06/2003 01/06/2003 06/04/2019 Current

EDINBURG, TX 78539

EDINBURG RENAL CENTER110169 95663124013902 S JACKSON ROAD 11/30/2020 11/26/2012 11/26/2012 11/27/2012 Current

EDINBURG, TX 78539

EL CAMPO DIALYSIS110264 9795438200307 SANDY CORNER ROAD 08/31/2020 08/01/2014 08/01/2014 08/01/2014 Current

EL CAMPO, TX 77437

EL MILAGRO DIALYSIS UNIT008183 51244897502800 SOUTH IH 35 SUITE 120 03/31/2021 03/09/2005 03/09/2005 12/06/2018 Current

AUSTIN, TX 78704

EL PASO ARA DIALYSIS CENTER110494 91553385752400 NORTH OREGON STREET

SUITE C

08/31/2022 08/17/2018 08/17/2018 08/17/2018 Current

EL PASO, TX 79902

EL PASO PERITONEAL DIALYSIS110272 91535108931310 MURCHISON DRIVE SUITE C 11/30/2020 11/14/2014 11/14/2014 11/17/2014 Current

EL PASO, TX 79902

ELIK DIALYSIS HOME THERAPY

MEMORIAL

008702 71386175001445 NORTH LOOP WEST SUITE 720 10/31/2020 10/06/2008 10/06/2008 10/06/2008 Current

HOUSTON, TX 77008

FALLBROOK DIALYSIS110536 281890546811321 FALLBROOK DRIVE 06/30/2021 06/04/2019 06/04/2019 06/04/2019 Current

HOUSTON, TX 77065

FALLS COUNTY KIDNEY CENTER000235 2548833699602 HIGHWAY 6 SOUTH 02/28/2022 01/22/1997 01/22/1997 01/22/2020 Current

MARLIN, TX 76661

FARMERS BRANCH DIALYSIS CENTER000050 97248811912280 SPRINGLAKE ROAD SUITE 110 10/31/2021 09/01/1996 09/01/1996 08/15/1997 Current

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

FARMERS BRANCH, TX 75234

FIRST COLONY DIALYSIS CENTER008635 28149414651447 HWY 6 SUITE 140 02/28/2022 02/28/2008 02/28/2008 02/28/2008 Current

SUGAR LAND, TX 774785094

FIVE POINTS DIALYSIS110521 91556606342929 MONTANA AVENUE 01/31/2021 01/09/2019 01/09/2019 01/09/2019 Current

EL PASO, TX 79903

FLORESVILLE DIALYSIS008498 8303934010543 10TH STREET 04/30/2021 04/06/2007 04/06/2007 04/06/2007 Current

FLORESVILLE, TX 78114

FLOYD CURL DIALYSIS110011 21056143739238 FLOYD CURL DRIVE SUITE 102 06/30/2021 06/11/2009 06/11/2009 06/11/2009 Current

SAN ANTONIO, TX 78240

FMC - SOUTH PRICE110136 956544071164 SOUTH PRICE ROAD SUITE B 06/30/2022 06/15/2012 06/15/2012 08/06/2019 Current

BROWNSVILLE, TX 78521

FMC ALLEN DIALYSIS #5446110000 9729082769925 WEST EXCHANGE PARKWAY 03/31/2021 03/10/2009 03/10/2009 03/10/2009 Current

ALLEN, TX 75013

FMC CROWN OF TEXAS110177 80641826901805 POINT WEST PARKWAY SUITE

200

02/28/2021 02/11/2013 02/11/2013 02/21/2013 Current

AMARILLO, TX 79124

FMC DIALYSIS SERVICES MCKINNEY007179 97254815111831 HARROUN 05/31/2022 05/09/2000 05/09/2000 10/23/2000 Current

MCKINNEY, TX 75069-3439

FMC DIALYSIS SERVICES MISSOURI

CITY

006683 28143797001673 CARTWRIGHT ROAD 10/31/2020 10/05/1998 10/05/1998 11/21/2018 Current

MISSOURI CITY, TX 77489

FMC DIALYSIS SERVICES OF ABILENE

SOUTH

007936 32579325942009 HOSPITAL PLACE 04/30/2021 04/02/2003 04/02/2003 05/05/2003 Current

ABILENE, TX 79606

FMC DIALYSIS SERVICES OF DEER

PARK

110417 28154268564625 CENTER STREET 02/28/2021 02/07/2017 02/07/2017 02/08/2017 Current

DEER PARK, TX 77536

FMC DIALYSIS SERVICES OF

DICKINSON

007838 28153426733800 HUGHES COURT 04/30/2021 04/02/2002 04/02/2002 04/08/2011 Current

DICKINSON, TX 77539

FMC DIALYSIS SERVICES OF EAST

CENTRAL HOUSTON

000194 71392633946830 CAPITOL STREET 02/28/2021 09/01/1996 09/01/1996 04/11/2019 Current

HOUSTON, TX 77011

FMC DIALYSIS SERVICES OF INGRAM110212 21052010006945 ALAMO DOWNS PARKWAY 11/30/2021 11/01/2013 11/01/2013 10/30/2019 Current

SAN ANTONIO, TX 78238

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

FMC DIALYSIS SERVICES OF

MEYERLAND

110566 83274235604740 W BELFORT AVE SUITE A 05/31/2022 05/22/2020 05/22/2020 05/22/2020 Current

HOUSTON, TX 77035

FMC DIALYSIS SERVICES OF MUSEUM

DISTRICT DIALYSIS

008416 71352784364407 YOAKUM BOULEVARD 10/31/2020 10/17/2006 10/17/2006 12/10/2018 Current

HOUSTON, TX 77006

FMC DIALYSIS SERVICES OF

PEARLAND

007877 28199307231830 BROADWAY 09/30/2020 09/18/2002 09/18/2002 10/31/2002 Current

PEARLAND, TX 77581

FMC DIALYSIS SERVICES OF

SOUTHWEST SAN ANTONIO

110223 2109329156134 CAMINO DE ORO 11/30/2021 11/27/2013 11/27/2013 11/27/2013 Current

SAN ANTONIO, TX 78224

FMC DIALYSIS SERVICES PLAINVIEW007866 80629666613304 OLTON ROAD 08/31/2021 08/21/2002 08/21/2002 08/06/2019 Current

PLAINVIEW, TX 79072

FMC DIALYSIS SERVICES

SOUTHWESTERN

110374 21492063838700 STEMMONS FREEWAY SUITE

135

06/30/2022 06/06/2016 06/06/2016 07/09/2020 Current

DALLAS, TX 75247

FMC DIALYSIS SERVICES TERRELL006784 9725249990351 SOUTH VIRGINIA STREET SUITE

300

01/31/2021 01/06/1999 01/06/1999 01/18/2019 Current

TERRELL, TX 75160

FMC DIALYSIS SERVICES

WAXAHACHIE

007268 97293822121300 SOUTH ROGERS STREET 02/28/2021 02/21/2001 02/21/2001 01/23/2015 Current

WAXAHACHIE, TX 75165

FMC DIALYSIS VISTA DEL SOL007174 915592849610420 VISTA DEL SOL SUITE 201 05/31/2021 05/02/2000 05/02/2000 06/07/2019 Current

EL PASO, TX 79925

FMC FIFTH WARD DIALYSIS008746 71367608882133 LOCKWOOD DRIVE 01/31/2021 01/08/2009 01/08/2009 02/21/2019 Current

HOUSTON, TX 77020

FMC NORTH BROWNSVILLE007841 95650450451900 NORTH EXPRESSWAY SUITE E 04/30/2022 04/11/2002 04/11/2002 10/31/2018 Current

BROWNSVILLE, TX 78521

FMC NORTHWEST HOUSTON110081 28155002878925 HWY 6 NORTH SUITE 100 06/30/2021 06/01/2011 06/01/2011 07/09/2019 Current

HOUSTON, TX 77095

FMC RIVER VALLEY CLINIC110254 9562830646433 WEST SAM HOUSTON 07/31/2022 07/31/2014 07/31/2014 07/31/2014 Current

PHARR, TX 78577

FMC SUNNYSIDE008507 71373170278340 COFFEE STREET 05/31/2021 05/03/2007 05/03/2007 07/29/2019 Current

HOUSTON, TX 77033

FMC TRI CITY110222 83076941251720 HIGHWAY 97 EAST 11/30/2021 11/27/2013 11/27/2013 11/05/2019 Current

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

JOURDANTON, TX 78026

FMC TRI CITY DIALYSIS008634 9567835628734 NORTH ALAMO ROAD 02/28/2022 02/25/2008 02/25/2008 02/25/2008 Current

ALAMO, TX 78516

FMC WEST BEXAR110256 2104352100803 CASTROVILLE ROAD SUITE 410 10/31/2021 10/31/2013 10/31/2013 10/31/2013 Current

SAN ANTONIO, TX 78237

FORT BEND DIALYSIS CENTER006920 28140307493819 CARTWRIGHT ROAD 11/30/2021 12/01/1997 12/01/1997 03/31/1999 Current

MISSOURI CITY, TX 77459

FORT BROWN DIALYSIS110301 95654411582000 BOCA CHICA BOULEVARD 03/31/2021 03/10/2015 03/10/2015 01/13/2020 Current

BROWNSVILLE, TX 78521

FORT STOCKTON DIALYSIS110237 4323368041387 W INTERSTATE 10 SUITE C 02/28/2022 02/28/2014 02/28/2014 01/28/2020 Current

FORT STOCKTON, TX 79735

FORT WORTH SAGINAW DIALYSIS110252 8172321502900 N BLUE MOUND ROAD SUITE

192

07/31/2022 07/29/2014 07/29/2014 06/26/2020 Current

SAGINAW, TX 76131

FOURTH STREET DIALYSIS007783 90323401123101 NORTH 4TH STREET SUITE B 08/31/2020 08/16/2001 08/16/2001 04/23/2013 Current

LONGVIEW, TX 75605

FREEDOM DIALYSIS INC110434 28196953877746 HIGHWAY 6 SUITE C 06/30/2021 06/26/2017 06/26/2017 06/26/2017 Current

MISSOURI CITY, TX 77459

FRESENIUS DIALYSIS SERVICES OF

KAUFMAN

110014 97293248462213 OLD KEMP HIGHWAY 08/31/2021 08/04/2009 08/04/2009 08/04/2009 Current

KAUFMAN, TX 75142

FRESENIUS GREENWAY KIDNEY

CENTER

110074 25466622995940 CROSSLAKE PARKWAY 04/30/2021 04/18/2011 04/18/2011 04/18/2011 Current

WACO, TX 76712

FRESENIUS KIDNEY CAE MCALLEN

HOME

110559 95634888981600 SOUTHEAST INDUSTRIAL

DRIVE SUITE 2

03/31/2022 03/19/2020 03/19/2020 03/19/2020 Current

EDINBURG, TX 78542

FRESENIUS KIDNEY CARE - ALAMO

RANCH

110447 21068803775620 LONE STAR PARKWAY SUITE #

1

09/30/2021 09/08/2017 09/08/2017 02/19/2020 Current

SAN ANTONIO, TX 78253

FRESENIUS KIDNEY CARE BAYTOWN

HOME

110512 34621649121671 ROLLINGBROOK DRIVE 11/30/2020 11/19/2018 11/19/2018 11/19/2018 Current

BAYTOWN, TX 77521

FRESENIUS KIDNEY CARE

BEAUMONT

110492 40983982042755 LIBERTY STREET 12/31/2021 12/22/2017 12/22/2017 12/28/2018 Current

BEAUMONT, TX 77702

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

FRESENIUS KIDNEY CARE

BELLMEAD

110567 25434263021803 NORTH DEVELOPMENT

BOULEVARD

05/31/2022 05/27/2020 05/27/2020 05/27/2020 Current

BELLMEAD, TX 76705

FRESENIUS KIDNEY CARE

CALALLEN

110487 36138701993825 COUNTY ROAD 69 06/30/2022 06/22/2018 06/22/2018 06/22/2018 Current

CORPUS CHRISTI, TX 78410

FRESENIUS KIDNEY CARE CAPROCK110403 80674800028704 UNIVERSITY AVENUE 12/31/2020 12/08/2016 12/08/2016 12/08/2016 Current

LUBBOCK, TX 79423-2205

FRESENIUS KIDNEY CARE CEDAR

HILL

110489 9722938178120 WEST BELTLINE ROAD 07/31/2022 07/23/2018 07/23/2018 07/16/2020 Current

CEDAR HILL, TX 75104

FRESENIUS KIDNEY CARE CORPUS

CHRISTI BAYSIDE

110563 36152962631121 3RD STREET 05/31/2022 05/01/2020 05/01/2020 05/01/2020 Current

CORPUS CHRISTI, TX 78404

FRESENIUS KIDNEY CARE CORPUS

CHRISTI HOME

110550 36190608125842 YORKTOWN BLVD. 11/30/2021 11/13/2019 11/13/2019 11/13/2019 Current

CORPUS CHRISTI, TX 78414

FRESENIUS KIDNEY CARE CRYSTAL

CITY

110481 83037490221313 VETERANS AVENUE SUITE E 05/31/2022 05/14/2018 05/14/2018 08/29/2018 Current

CRYSTAL CITY, TX 78839

FRESENIUS KIDNEY CARE

CUMBERLAND

110484 21056178795418 NORTH LOOP 1604 WEST

SUITE 120

05/31/2022 05/21/2018 05/21/2018 05/30/2018 Current

SAN ANTONIO, TX 78249

FRESENIUS KIDNEY CARE CYPRESS

FAIRBANKS

110502 281894968710505 JONES ROAD 10/31/2020 10/02/2018 10/02/2018 01/14/2020 Current

HOUSTON, TX 77065

FRESENIUS KIDNEY CARE DAYTON110524 93634027501003 NORTH CLEVELAND 02/28/2021 02/04/2019 02/04/2019 02/04/2019 Current

DAYTON, TX 77535

FRESENIUS KIDNEY CARE EAST

FORT WORTH

110496 81742919441032 SANDY LANE 03/31/2022 04/01/2018 04/01/2018 08/25/2018 Current

FORT WORTH, TX 76120

FRESENIUS KIDNEY CARE GESSNER110505 71398811378700 SOUTH GESSNER SUITE 300 04/30/2022 04/24/2018 04/24/2018 10/09/2018 Current

HOUSTON, TX 77074

FRESENIUS KIDNEY CARE HOUSTON

ELLA DIALYSIS CENTER

110540 71377317171900 NORTH LOOP WEST SUITE 200 04/30/2021 04/24/2019 04/24/2019 06/28/2019 Current

HOUSTON, TX 77018

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

FRESENIUS KIDNEY CARE JASPER110556 40938427112014 SOUTH WHEELER STREET

SUITE 300

11/30/2021 11/07/2019 11/07/2019 03/10/2020 Current

JASPER, TX 75951

FRESENIUS KIDNEY CARE KELLER110541 81747982323700 NORTH TARRANT PARKWAY 07/31/2021 07/11/2019 07/11/2019 07/11/2019 Current

FORT WORTH, TX 76177

FRESENIUS KIDNEY CARE LAMAR

COUNTY DIALYSIS

110391 9035723541860 NE LOOP 286 06/30/2022 07/01/2016 07/01/2016 09/14/2016 Current

PARIS, TX 75460-2134

FRESENIUS KIDNEY CARE LAREDO

MEDICAL LOOP

110420 95675335822441 MONARCH DRIVE SUITE 11 03/31/2021 03/13/2017 03/13/2017 04/11/2017 Current

LAREDO, TX 78045

FRESENIUS KIDNEY CARE MARKET

STREET

110544 713815686712098 EAST FREEWAY 08/31/2021 08/01/2019 08/01/2019 08/01/2019 Current

HOUSTON, TX 77029

FRESENIUS KIDNEY CARE MID

VALLEY

110472 95697300021010 RONE DRIVE 01/31/2022 01/29/2018 01/29/2018 03/05/2018 Current

WESLACO, TX 78596

FRESENIUS KIDNEY CARE MOUNT

PLEASANT

110526 90357232681407 NORTH JEFFERSON AVENUE 03/31/2021 03/29/2019 03/29/2019 03/29/2019 Current

MOUNT PLEASANT, TX 75455

FRESENIUS KIDNEY CARE NEW

CANEY

110490 281354149422310 MCCLESKEY ROAD 07/31/2022 07/24/2018 07/24/2018 07/24/2018 Current

NEW CANEY, TX 77357

FRESENIUS KIDNEY CARE NORTH

EDINBURG

110561 95634887421600 SE INDUSTRIAL DRIVE SUITE 1 04/30/2022 04/01/2020 04/01/2020 04/01/2020 Current

EDINBURG, TX 78542

FRESENIUS KIDNEY CARE

NORTHSIDE DIALYSIS

110454 2815834698235 FM 1960 ROAD W SUITE 235C 10/31/2021 10/16/2017 10/16/2017 01/07/2019 Current

HOUSTON, TX 77090

FRESENIUS KIDNEY CARE OF

FONDREN DIALYSIS

110462 71378218107011 REGENCY SQUARE BLVD 11/30/2021 11/13/2017 11/13/2017 01/03/2020 Current

HOUSTON, TX 77036

FRESENIUS KIDNEY CARE ORANGE110493 40988677141301 MARTIN LUTHER KING JR

DRIVE #B

12/31/2021 12/22/2017 12/22/2017 08/22/2018 Current

ORANGE, TX 77630

FRESENIUS KIDNEY CARE

PALESTINE HOME THERAPIES

110510 9037290151201 MEDICAL DRIVE 10/31/2020 10/23/2018 10/23/2018 10/23/2018 Current

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

PALESTINE, TX 75801

FRESENIUS KIDNEY CARE

PEARLAND TOWN CENTER

110539 28158280242850 KIRBY DRIVE 04/30/2021 04/24/2019 04/24/2019 06/28/2019 Current

PEARLAND, TX 77584

FRESENIUS KIDNEY CARE

PFLUGERVILLE

110531 51298993662129 WEST PECAN STREET 04/30/2021 04/24/2019 04/24/2019 04/24/2019 Current

PFLUGERVILLE, TX 78660

FRESENIUS KIDNEY CARE RENNER

ROAD LLC

110444 97223443263517 SPECTRUM BLVD 08/31/2021 08/25/2017 08/25/2017 05/28/2020 Current

RICHARDSON, TX 75082

FRESENIUS KIDNEY CARE ROLLING

PLAINS

110468 3252368171100 EAST ARIZONA AVENUE 01/31/2022 01/10/2018 01/10/2018 01/10/2018 Current

SWEETWATER, TX 79556

FRESENIUS KIDNEY CARE SAN

ANGELO

110449 32548107982018 PULLIAM STREET 08/31/2021 08/03/2017 08/03/2017 09/12/2017 Current

SAN ANGELO, TX 76905

FRESENIUS KIDNEY CARE SCHERTZ110562 21089069001787 FM 3009 04/30/2022 04/07/2020 04/07/2020 04/07/2020 Current

SCHERTZ, TX 78154

FRESENIUS KIDNEY CARE

SOUTHEAST FORT WORTH

110511 81741300703708 EAST ROSEDALE STREET 11/30/2020 11/19/2018 11/19/2018 11/19/2018 Current

FORT WORTH, TX 76105

FRESENIUS KIDNEY CARE SPRING

CYPRESS HOME

110558 346254663626321 NORTHWEST FREEWAY

SUITE 300

03/31/2022 03/18/2020 03/18/2020 03/18/2020 Current

CYPRESS, TX 77429

FRESENIUS KIDNEY CARE SPRING

KLEIN

110474 28135017565230 FM 2920 02/28/2022 02/20/2018 02/20/2018 02/20/2018 Current

SPRING, TX 77388

FRESENIUS KIDNEY CARE

STANBAUGH MEMORIAL

110491 80687292391600 NORTH BRYAN AVENUE 07/31/2022 07/24/2018 07/24/2018 07/24/2018 Current

LAMESA, TX 79331

FRESENIUS KIDNEY CARE

SUGARLAND HOME

110400 28124040764675 SWEETWATER BLVD SUITE B 11/30/2020 11/18/2016 11/18/2016 11/18/2016 Current

SUGAR LAND, TX 77479

FRESENIUS KIDNEY CARE TOMBALL110516 832639017013730 ALICE ROAD SUITE D 12/31/2020 12/04/2018 12/04/2018 12/04/2018 Current

TOMBALL, TX 77377

FRESENIUS KIDNEY CARE VAL

VERDE

110421 8307743031608 NORTH BEDELL AVENUE 12/31/2020 01/01/2017 01/01/2017 03/23/2017 Current

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

DEL RIO, TX 78840

FRESENIUS KIDNEY CARE VALLEY

HEMODIALYSIS CENTER

110551 9563566653350 NORTH EXPRESSWAY 12/31/2021 12/18/2019 12/18/2019 12/18/2019 Current

BROWNSVILLE, TX 78521

FRESENIUS KIDNEY CARE WEST

ROSENBERG

110485 28123931562733 1ST STREET 06/30/2022 06/19/2018 06/19/2018 06/19/2018 Current

ROSENBERG, TX 77471

FRESENIUS KIDNEY CARE WILLOW

BEND

110532 21447400256823 COMMUNICATIONS PARKWAY

BLDG A

04/30/2021 04/29/2019 04/29/2019 05/10/2019 Current

PLANO, TX 75024

FRESENIUS KIDNEY CARE

WOODLANDS PARK

110482 281465160126865 I-45 SUITE 100 05/31/2022 05/14/2018 05/14/2018 05/14/2018 Current

SPRING, TX 77380

FRESENIUS KIDNEY CARE

WOODLANDS WEST

110443 93622431033 WINDCREST NATIONAL 08/31/2021 08/18/2017 08/18/2017 10/02/2019 Current

MAGNOLIA, TX 77354

FRESENIUS MEDICAL CARE -

ABILENE LONE STAR

110173 3256910772349 SOUTH DANVILLE DRIVE 12/31/2020 12/27/2012 12/27/2012 12/27/2012 Current

ABILENE, TX 79605

FRESENIUS MEDICAL CARE -

CHISHOLM TRAIL

110135 51281991041900 SCENIC DRIVE, BUILDING 1

SUITE 1128

06/30/2022 06/08/2012 06/08/2012 06/05/2020 Current

GEORGETOWN, TX 78626-7724

FRESENIUS MEDICAL CARE - DESERT

MILAGRO DIALYSIS CENTER

110089 4323323058230 NORTH WASHINGTON AVENUE 06/30/2021 06/07/2011 07/26/2011 08/31/2012 Current

ODESSA, TX 79761

FRESENIUS MEDICAL CARE ABILENE006200 32567232431802 PINE STREET 11/30/2021 12/01/1997 12/01/1997 08/05/1998 Current

ABILENE, TX 79601

FRESENIUS MEDICAL CARE

AMARILLO HIGH PLAINS

007296 80635391825920 AMARILLO BLVD WEST 04/30/2021 04/10/2001 04/10/2001 02/10/2014 Current

AMARILLO, TX 79106

FRESENIUS MEDICAL CARE BALCH

SPRINGS LLC

110503 97236712812429 HICKORY TREE ROAD 10/31/2020 10/02/2018 10/02/2018 10/02/2018 Current

BALCH SPRINGS, TX 75180

FRESENIUS MEDICAL CARE

BAYTOWN DIALYSIS

008052 28142237942202 ROLLINGBROOK 04/30/2021 04/26/2004 04/26/2004 05/12/2004 Current

BAYTOWN, TX 77521

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

FRESENIUS MEDICAL CARE BEAMER

DIALYSIS

110385 281922993012727 BEAMER ROAD 08/31/2020 08/01/2016 08/01/2016 09/25/2018 Current

HOUSTON, TX 77089

FRESENIUS MEDICAL CARE BRAZOS110381 83259500031730 B. F. TERRY BOULEVARD

SUITE 1102

03/31/2022 03/04/2016 03/04/2016 07/08/2016 Current

ROSENBERG, TX 77471

FRESENIUS MEDICAL CARE

BROWNWOOD

110359 3266469510110 SOUTHPARK DRIVE 04/30/2021 05/01/2015 05/01/2015 03/30/2016 Current

BROWNWOOD, TX 76801

FRESENIUS MEDICAL CARE CEDAR

PARK

008572 51225913291201 NORTH LAKELINE BLVD SUITE

100

10/31/2021 10/11/2007 10/11/2007 03/30/2017 Current

CEDAR PARK, TX 78613

FRESENIUS MEDICAL CARE DIALYSIS

SERVICES OF GRAPEVINE

007336 81732918661601 HART COURT 07/31/2021 07/11/2001 07/11/2001 07/23/2019 Current

SOUTHLAKE, TX 76092

FRESENIUS MEDICAL CARE EL PASO

TRANSMOUNTAIN

110513 915757227110112 DYER STREET 11/30/2020 11/21/2018 11/21/2018 11/29/2018 Current

EL PASO, TX 79924

FRESENIUS MEDICAL CARE EL PASO

WEST

110404 91558454001430 NORTHWESTERN DRIVE 12/31/2020 12/12/2016 12/12/2016 12/12/2016 Current

EL PASO, TX 79912

FRESENIUS MEDICAL CARE

FALFURRIAS

008581 3613253528720 NORTH SAINT MARYS STREET 11/30/2021 11/05/2007 11/05/2007 10/25/2019 Current

FALFURRIAS, TX 78355

FRESENIUS MEDICAL CARE FRISCO110370 469365076610150 LEGACY DRIVE SUITE# 100B 05/31/2022 05/20/2016 05/20/2016 05/07/2020 Current

FRISCO, TX 75033

FRESENIUS MEDICAL CARE

GALVESTON

110465 40974420686011 BROADWAY STREET 12/31/2021 12/14/2017 12/14/2017 12/14/2017 Current

GALVESTON, TX 77551

FRESENIUS MEDICAL CARE GRAHAM110088 94054917321531 HIGHWAY 380 BYPASS 07/31/2021 07/20/2011 07/20/2011 07/20/2011 Current

GRAHAM, TX 76450

FRESENIUS MEDICAL CARE

GRANBURY LLC

110412 68220570011030 EAST HIGHWAY 377 SUITE 128 11/30/2020 12/01/2016 12/01/2016 02/28/2017 Current

GRANBURY, TX 76048

FRESENIUS MEDICAL CARE GRAND

PRAIRIE

008680 9722663891825 DALWORTH STREET 08/31/2020 08/12/2008 08/12/2008 09/10/2018 Current

GRAND PRAIRIE, TX 75050

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

FRESENIUS MEDICAL CARE HARKER

HEIGHTS

110274 2546900613625 WEST CENTRAL TEXAS

EXPRESSWAY

11/30/2020 11/18/2014 11/18/2014 01/31/2019 Current

HARKER HEIGHTS, TX 76548

FRESENIUS MEDICAL CARE

HENDERSON COUNTY

110366 90367784711220 S PALESTINE STREET 04/30/2022 04/26/2016 04/26/2016 04/26/2016 Current

ATHENS, TX 75751

FRESENIUS MEDICAL CARE

HILLSBORO KIDNEY CENTER

008293 25458255771507 HILLVIEW DRIVE 11/30/2021 11/07/2005 11/07/2005 10/02/2019 Current

HILLSBORO, TX 76645

FRESENIUS MEDICAL CARE HORIZON

DIALYSIS

008500 915872027012245 ROJAS DRIVE 04/30/2021 04/17/2007 04/17/2007 04/17/2007 Current

EL PASO, TX 79936

FRESENIUS MEDICAL CARE

HOUSTON HOME

110507 71379015819001 KIRBY DRIVE 10/31/2020 10/12/2018 10/12/2018 10/12/2018 Current

HOUSTON, TX 77054

FRESENIUS MEDICAL CARE KATY110288 281492340121755 PROVINCIAL BLVD 01/31/2021 01/07/2015 01/07/2015 01/07/2015 Current

KATY, TX 77450

FRESENIUS MEDICAL CARE KIEST

STATION

008456 21437126185148 SOUTH LANCASTER SUITE B 02/28/2021 02/06/2007 02/06/2007 03/24/2011 Current

DALLAS, TX 75241

FRESENIUS MEDICAL CARE KINGS

CROSSING

110553 36199304805834 YORKTOWN BLVD. 01/31/2022 01/02/2020 01/02/2020 01/02/2020 Current

CORPUS CHRISTI, TX 78413

FRESENIUS MEDICAL CARE

KINGWOOD LLC

110407 28154812509767 FM 1960 BYPASS ROAD WEST 12/31/2020 12/14/2016 12/14/2016 12/14/2016 Current

HUMBLE, TX 77338

FRESENIUS MEDICAL CARE KYLE110308 51226824285895 KYLE PARKWAY 05/31/2021 05/01/2015 05/01/2015 08/02/2019 Current

KYLE, TX 78640

FRESENIUS MEDICAL CARE

LAMPASAS

008441 51255641011202 CENTRAL TEXAS

EXPRESSWAY

01/31/2021 01/10/2007 01/10/2007 02/28/2019 Current

LAMPASAS, TX 76550

FRESENIUS MEDICAL CARE

LIVINGSTON TEXAS LLC

110445 9363270036101 WEST PARK DRIVE 08/31/2021 08/31/2017 08/31/2017 08/31/2017 Current

LIVINGSTON, TX 77351

FRESENIUS MEDICAL CARE

LOCKHART

110311 51239863571721 S COLORADO STREET 05/31/2021 05/27/2015 05/27/2015 05/27/2015 Current

LOCKHART, TX 78644

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

FRESENIUS MEDICAL CARE

LUBBOCK LLC

110269 80674412522710 AVENUE Q 10/31/2020 10/29/2014 10/29/2014 10/29/2014 Current

LUBBOCK, TX 79411

FRESENIUS MEDICAL CARE

MCALLEN

007997 95668212591325 EAST QUEBEC 10/31/2020 10/28/2003 10/28/2003 04/20/2020 Current

MCALLEN, TX 78503

FRESENIUS MEDICAL CARE

MEDICAL CENTER HOME THERAPY

SUITE

110144 71379196901333 J OLD SPANISH TRAIL 08/31/2020 08/03/2012 08/03/2012 11/05/2018 Current

HOUSTON, TX 77054

FRESENIUS MEDICAL CARE MISSION

BEND DIALYSIS

008625 28156804406886 HIGHWAY 6 SOUTH 02/28/2022 02/01/2008 02/01/2008 02/12/2020 Current

HOUSTON, TX 77083

FRESENIUS MEDICAL CARE MOODY

PARK DIALYSIS

008627 71322225132920 FULTON STREET 02/28/2022 02/04/2008 02/04/2008 01/08/2020 Current

HOUSTON, TX 77009

FRESENIUS MEDICAL CARE NORTH

GARLAND

008611 2147030564530 CLARA BARTON SUITE 105 01/31/2022 01/04/2008 01/04/2008 01/04/2008 Current

GARLAND, TX 75042

FRESENIUS MEDICAL CARE NORTH

HOUSTON DIALYSIS

110004 28198777725435 ALDINE MAIL ROUTE 04/30/2021 04/27/2009 04/27/2009 04/23/2019 Current

HOUSTON, TX 77039

FRESENIUS MEDICAL CARE NORTH

TEXAS

110039 94078158801600 9TH STREET 04/30/2022 04/16/2010 04/16/2010 03/10/2020 Current

WICHITA FALLS, TX 76301

FRESENIUS MEDICAL CARE

NORTHEAST HOUSTON LLC

110394 28186291064810 EAST SAM HOUSTON

PARKWAY NORTH

10/31/2020 10/04/2016 10/04/2016 10/04/2016 Current

HOUSTON, TX 77015

FRESENIUS MEDICAL CARE OF

BURLESON

110113 8175516623200 MCPHERSON BOULEVARD 02/28/2022 02/02/2012 02/02/2012 02/02/2012 Current

FORT WORTH, TX 76140

FRESENIUS MEDICAL CARE OF

COCKRELL HILL

110022 21446737884810 WEST ILLINOIS 10/31/2021 10/21/2009 10/21/2009 10/09/2019 Current

DALLAS, TX 75211

FRESENIUS MEDICAL CARE OF DEL

RIO

110220 83077378402201 N BEDELL AVENUE, SUITE D 11/30/2021 11/25/2013 11/25/2013 11/14/2019 Current

DEL RIO, TX 78840

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

FRESENIUS MEDICAL CARE OF

FOREST PARK

008152 21435128336010 FOREST PARK ROAD SUITE 100 12/31/2021 12/31/2004 12/31/2004 11/20/2019 Current

DALLAS, TX 75235

FRESENIUS MEDICAL CARE OF

FOREST PARK

110560 97297277202223 SINGLETON BLVD. SUITE 305 03/31/2022 03/26/2020 03/26/2020 05/07/2020 Current

DALLAS, TX 75212

FRESENIUS MEDICAL CARE OF

ROWLETT

008546 21470369513801 LAKEVIEW PARKWAY SUITE

100

08/31/2021 08/20/2007 08/20/2007 12/14/2015 Current

ROWLETT, TX 75088

FRESENIUS MEDICAL CARE OF

WEATHERFORD

110058 81759967832025 FORT WORTH HWY SUITE 400 11/30/2020 11/19/2010 11/19/2010 06/24/2015 Current

WEATHERFORD, TX 76086

FRESENIUS MEDICAL CARE OF WEST

PLANO

008367 97294376564405 TRADITION TRAIL 06/30/2022 06/02/2006 06/02/2006 06/08/2020 Current

PLANO, TX 75093

FRESENIUS MEDICAL CARE OF WEST

SEGUIN

110215 8303791801757 WEST COURT ST 11/30/2021 11/01/2013 11/01/2013 02/26/2020 Current

SEGUIN, TX 78155

FRESENIUS MEDICAL CARE PAMELA

HEIGHTS

110046 281438035415917 SOUTH POST OAK ROAD #B 06/30/2022 06/18/2010 06/18/2010 06/01/2020 Current

HOUSTON, TX 77053

FRESENIUS MEDICAL CARE PAMPA000259 80666582002545 PERRYTON PARKWAY SPACE

1E

06/30/2022 05/23/1997 05/23/1997 04/20/2020 Current

PAMPA, TX 79065

FRESENIUS MEDICAL CARE PD

SERVICES OF DALLAS

008155 21490580758700 STEMMONS FREEWAY SUITE

133

01/31/2021 01/10/2005 01/10/2005 01/11/2019 Current

DALLAS, TX 75247

FRESENIUS MEDICAL CARE

PERMIAN BASIN

110098 43252223003302 GOLF COURSE ROAD SUITE 200 10/31/2021 10/03/2011 10/03/2011 10/03/2011 Current

MIDLAND, TX 79703

FRESENIUS MEDICAL CARE

PLEASANT RUN DIALYSIS

008356 9722288780900 N POLK STREET SUITE 146 05/31/2022 05/01/2006 05/01/2006 05/01/2006 Current

DESOTO, TX 75115

FRESENIUS MEDICAL CARE

ROCKPORT

008751 36179056751102 FM 3036 01/31/2021 01/22/2009 01/22/2009 01/29/2018 Current

ROCKPORT, TX 78382

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

FRESENIUS MEDICAL CARE

ROSENBERG DIALYSIS

110305 28134174252510 BF TERRY BOULEVARD 04/30/2021 04/17/2015 04/17/2015 04/17/2015 Current

ROSENBERG, TX 77471

FRESENIUS MEDICAL CARE

SARATOGA

008628 36198615676017 PARKWAY DRIVE 02/28/2022 02/06/2008 02/06/2008 02/06/2008 Current

CORPUS CHRISTI, TX 78414

FRESENIUS MEDICAL CARE

STRAWBERRY PARK

110430 71347566171210 SOUTHMORE AVENUE 05/31/2021 05/12/2017 05/12/2017 05/12/2017 Current

PASADENA, TX 77502

FRESENIUS MEDICAL CARE SUGAR

LAND

110383 28120188551107 SOLDIERS FIELD DRIVE 02/28/2022 03/01/2016 03/01/2016 08/26/2016 Current

SUGAR LAND, TX 77479

FRESENIUS MEDICAL CARE TEXAS

AVENUE

110441 2813320046400 WEST MEDICAL CENTER BLVD

SUITE #125

08/31/2021 08/14/2017 08/14/2017 08/14/2017 Current

WEBSTER, TX 77598

FRESENIUS MEDICAL CARE TYLER

HOME DIALYSIS

110298 90358187073824 TROUP HIGHWAY 02/28/2021 02/27/2015 02/27/2015 03/02/2015 Current

TYLER, TX 75703

FRESENIUS MEDICAL CARE WACO

LAKESHORE

110270 25475621842420 LAKESHORE DRIVE 11/30/2020 11/03/2014 11/03/2014 11/03/2014 Current

WACO, TX 76708

FRESENIUS MEDICAL CARE WEST

PEARLAND DIALYSIS

110336 71343603642276 BUSINESS CENTER DRIVE 09/30/2021 09/25/2015 09/25/2015 05/24/2016 Current

PEARLAND, TX 77584

FRESENIUS MEDICAL CARE

WESTOVER HILLS

110121 21052043039010 CULEBRA ROAD 02/28/2022 02/22/2012 02/22/2012 12/05/2016 Current

SAN ANTONIO, TX 78251

FRESENIUS MEDICAL CARE-EAST

BASTROP

110358 51233201751675 HIGHWAY 71 EAST 03/31/2022 03/04/2016 03/04/2016 03/04/2016 Current

BASTROP, TX 78602

FRESENIUS NORTH FORT WORTH008390 81737800432532 JACKSBORO HWY 08/31/2020 08/25/2006 08/25/2006 02/03/2011 Current

FORT WORTH, TX 76114

GARLAND DIALYSIS110348 9722782757776 EAST CENTERVILLE ROAD 09/30/2021 10/01/2015 10/01/2015 12/28/2015 Current

GARLAND, TX 75041

GARLAND SHILOH DIALYSIS110395 9722767961800 N SHILOH ROAD 10/31/2020 10/05/2016 10/05/2016 10/05/2016 Current

GARLAND, TX 75042

GEORGETOWN DIALYSIS110087 5128199636201 FM 971 07/31/2021 07/08/2011 07/08/2011 07/08/2011 Current

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

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LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

GEORGETOWN, TX 78626

GILMER DIALYSIS CENTER008122 9038439886510 US HIGHWAY 271 N 10/31/2021 10/04/2004 10/04/2004 10/02/2019 Current

GILMER, TX 75644

GLOBAL DIALYSIS PLUS INC008604 281980044612823 CAPRICORN DRIVE 12/31/2021 12/18/2007 12/18/2007 12/23/2019 Current

STAFFORD, TX 77477

GOLDEN TRIANGLE DIALYSIS110294 40983284231020 NORTH 14TH STREET 01/31/2021 01/23/2015 01/23/2015 04/13/2020 Current

BEAUMONT, TX 77702

GONZALES DIALYSIS CENTER008019 83067243771406 NORTH SARAH DEWITT 01/31/2022 01/16/2004 01/16/2004 05/04/2004 Current

GONZALES, TX 78629

GRACIAS DIALYSIS110537 281999034812430 STATE HWY 249 SUITE H 06/30/2021 06/18/2019 06/18/2019 06/18/2019 Current

HOUSTON, TX 77086

GRANBURY DIALYSIS110131 81757914171200 PALUXY MEDICAL CIRCLE

SUITE 100

06/30/2022 06/04/2012 06/04/2012 06/11/2020 Current

GRANBURY, TX 76048

GRAND PRAIRIE DIALYSIS CENTER110163 9722372400550 SOUTH CARRIER PARKWAY

SUITE 450

12/31/2020 12/01/2012 10/15/2012 12/03/2012 Current

GRAND PRAIRIE, TX 75051

GRAPEVINE DIALYSIS110276 81725106751651 WEST NORTHWEST HIGHWAY 12/31/2020 12/03/2014 12/03/2014 12/03/2014 Current

GRAPEVINE, TX 76051

GRAPEVINE REGIONAL DIALYSIS

CENTER

110373 81742163261270 WILLIAM D TATE AVENUE

SUITE 300

06/30/2022 06/01/2016 06/01/2016 06/01/2016 Current

GRAPEVINE, TX 76051

GREATWOOD DIALYSIS110203 281545147020333 SOUTHWEST FREEWAY SUITE

105

07/31/2021 07/01/2013 09/05/2013 07/01/2013 Current

SUGAR LAND, TX 77479

GREEN OAK DIALYSIS110263 28131213011426 KINGWOOD DRIVE 09/30/2020 09/24/2014 09/24/2014 10/17/2018 Current

KINGWOOD, TX 77339

GREEN OAKS DIALYSIS CENTER110372 81746005101950 NE GREEN OAKS BLVD SUITE

190

06/30/2022 06/01/2016 06/01/2016 06/01/2016 Current

ARLINGTON, TX 76006

GREENWOOD HOLLY RENAL

CENTER

008662 36185073001533 HOLLY ROAD 06/30/2022 06/17/2008 06/17/2008 06/05/2020 Current

CORPUS CHRISTI, TX 78417

GULFGATE KIDNEY CENTER110365 61049589002916 WOODRIDGE AVENUE 04/30/2022 04/22/2016 04/22/2016 04/22/2016 Current

HOUSTON, TX 77087

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

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LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

HARRIS HEALTH - RIVERSIDE

DIALYSIS CENTER

008698 71356639293315 DELANO STREET 09/30/2020 09/18/2008 09/18/2008 09/20/2018 Current

HOUSTON, TX 77004

HARRIS PARKWAY DIALYSIS008477 81729255126551 HARRIS PARKWAY SUITE 115A 03/31/2021 03/06/2007 03/06/2007 03/05/2019 Current

FORT WORTH, TX 76132

HEARNE DIALYSIS CENTER008752 9792799632106 CEDAR STREET 01/31/2021 01/23/2009 01/23/2009 01/20/2011 Current

HEARNE, TX 77859

HEB DIALYSIS CENTER110166 81754545091809 FOREST RIDGE DRIVE 11/30/2020 11/15/2012 11/15/2012 02/14/2018 Current

BEDFORD, TX 76022

HEIGHTS DIALYSIS110296 7138020542739 EAST 20TH STREET 02/28/2021 10/17/2016 02/03/2015 10/17/2016 Current

HOUSTON, TX 77008

HENDERSON DIALYSIS CENTER007027 90365569221002 HIGHWAY 79 NORTH 06/30/2022 06/24/1999 06/24/1999 05/06/2020 Current

HENDERSON, TX 75652

HENDRICK DIALYSIS CENTER110548 3256705619820 NORTH 19TH STREET 10/31/2021 10/11/2019 10/11/2019 10/11/2019 Current

ABILENE, TX 79601

HEREFORD DIALYSIS CENTER007295 8063644292533 NORTH 25 MILE AVENUE SUITE

A

04/30/2022 04/10/2001 04/10/2001 04/10/2001 Current

HEREFORD, TX 79045

HIGHLAND VILLAGE DIALYSIS110168 97231756092700 VILLAGE PARKWAY 11/30/2020 11/16/2012 11/16/2012 05/01/2017 Current

HIGHLAND VILLAGE, TX 75077

HILL COUNTRY DIALYSIS110331 51226825231250 DACY LANE 09/30/2021 09/09/2015 09/09/2015 09/18/2019 Current

KYLE, TX 78640

HOME AT THE MUSEUM110525 71359751297505 MAIN STREET SUITE 120 12/31/2020 01/01/2019 01/01/2019 03/12/2019 Current

HOUSTON, TX 77030

HOPE KIDNEY CLINIC008587 95624248102309 EAST SAUNDERS STREET

SUITE 200

11/30/2021 11/26/2007 11/26/2007 07/06/2018 Current

LAREDO, TX 78041

HOPE KIDNEY CLINIC LAKEVIEW110040 95671716006410 CRESCENT LOOP SUITE 100 04/30/2022 04/26/2010 04/26/2010 04/26/2010 Current

LAREDO, TX 78041

HORIZON DIALYSIS110172 28182959472222 GREENHOUSE ROAD 12/31/2020 12/18/2012 12/18/2012 12/18/2012 Current

HOUSTON, TX 77084

HOUSTON DIALYSIS110293 7137480942900 SOUTH LOOP WEST SUITE 100 01/31/2021 01/16/2015 01/16/2015 01/16/2015 Current

HOUSTON, TX 77054

HOUSTON GALLERIA DIALYSIS110142 71397712785923 WESTHEIMER ROAD 07/31/2022 07/12/2012 07/12/2012 07/23/2014 Current

HOUSTON, TX 77057-7603

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

HOUSTON KIDNEY CENTER CYPRESS

STATION

110175 281580615772 CYPRESS CREEK PARKWAY 01/31/2021 01/25/2013 01/25/2013 04/08/2014 Current

HOUSTON, TX 77090

HOUSTON KIDNEY CENTER

SOUTHWEST

110102 28153019059980 WEST SAM HOUSTON

PARKWAY SOUTH SUITE 100

10/31/2021 10/24/2011 10/24/2011 12/03/2013 Current

HOUSTON, TX 77099

HULEN DIALYSIS110287 81737076425832 SOUTH HULEN STREET 12/31/2020 12/23/2014 12/23/2014 12/23/2014 Current

FORT WORTH, TX 76132-2684

HUMBLE DIALYSIS110007 281540431319502 MCKAY DRIVE SUITE 100 05/31/2021 05/18/2009 05/18/2009 05/21/2019 Current

HUMBLE, TX 77338

HUNT COUNTY DIALYSIS CENTER110519 90345505793301 RIDGECREST ROAD SUITE 1 12/31/2020 12/27/2018 12/27/2018 12/27/2018 Current

GREENVILLE, TX 75402

HUNTSVILLE DIALYSIS007310 9362955500521 IH 45 SOUTH SUITE 20 05/31/2021 05/17/2001 05/17/2001 05/17/2001 Current

HUNTSVILLE, TX 77340

I - DIALYSIS110425 93671507778760 US HIGHWAY 59 SOUTH 04/30/2021 04/28/2017 04/28/2017 04/28/2017 Current

NACOGDOCHES, TX 75964

INNOVATIVE DIALYSIS SOLUTIONS

AT HOME

110342 83071492422795 BULVERDE ROAD SUITE B 11/30/2021 11/25/2015 11/25/2015 01/09/2020 Current

BULVERDE, TX 78163

INNOVATIVE DIALYSIS SOLUTIONS

AT HOME OF DEVINE LLC

110506 8305415372108 SOUTH UPSON DRIVE 10/31/2020 10/12/2018 10/12/2018 11/06/2018 Current

DEVINE, TX 78016

INWOOD DIALYSIS110416 71368104816626 ANTOINE DRIVE 02/28/2021 02/06/2017 02/06/2017 02/08/2017 Current

HOUSTON, TX 77091

IRVING REGIONAL DIALYSIS CENTER

LLC

110313 97225216562535 WEST AIRPORT FREEWAY 06/30/2021 06/11/2015 06/11/2015 06/11/2015 Current

IRVING, TX 75062

ISLAND DIALYSIS008180 40974011095920 BROADWAY STREET 03/31/2021 03/08/2005 03/08/2005 03/08/2005 Current

GALVESTON, TX 77551

JACINTO DIALYSIS CENTER008111 713453050511515 MARKET STREET ROAD 09/30/2020 09/07/2004 09/07/2004 09/07/2004 Current

HOUSTON, TX 77029

JACKSON MEADOWS DIALYSIS110517 95666482512500 SOUTH JACKSON ROAD 12/31/2020 12/18/2018 12/18/2018 12/18/2018 Current

MCALLEN, TX 78503

JENSEN DIALYSIS110299 71369246009716 JENSEN DRIVE 08/31/2020 08/01/2014 08/01/2014 02/03/2017 Current

HOUSTON, TX 77093-4639

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

JERSEY VILLAGE DIALYSIS110292 28147778788787 FALLBROOK DRIVE 01/31/2021 01/14/2015 01/14/2015 01/14/2015 Current

HOUSTON, TX 77064

JOHN T MONTFORD PSYCHIATRIC

HOSPITAL

000270 80674510218602 PEACH STREET 07/31/2021 03/01/1997 03/01/1997 07/31/2019 Current

LUBBOCK, TX 79404

JUDSON DIALYSIS110542 210653957915619 NACOGDOCHES ROAD 07/31/2021 07/12/2019 07/12/2019 07/12/2019 Current

SAN ANTONIO, TX 78247

KATY CINCO RANCH DIALYSIS008179 28139216161265 ROCK CANYON DRIVE 03/31/2021 03/08/2005 03/08/2005 03/17/2016 Current

KATY, TX 77450

KATY DIALYSIS GRAND PARKWAY008711 2813926063403 WEST GRAND PARKWAY SOUTH

SUITE T

10/31/2020 10/30/2008 10/30/2008 09/24/2014 Current

KATY, TX 77494

KAUFMAN DIALYSIS110008 97293290912851 MILLENNIUM DRIVE 06/30/2021 06/01/2009 06/01/2009 06/01/2009 Current

KAUFMAN, TX 75142

KELLER DIALYSIS110290 817337548311000 OLD DENTON ROAD 01/31/2021 01/08/2015 01/08/2015 01/08/2015 Current

FORT WORTH, TX 76244

KERRVILLE DIALYSIS008303 8302578734515 GRANADA PLACE 12/31/2021 12/09/2005 12/09/2005 07/03/2012 Current

KERRVILLE, TX 78028

KESSLER PARK REGIONAL DIALYSIS

CENTER

110361 21433172191070 NORTH WESTMORELAND

ROAD

03/31/2022 03/31/2016 03/31/2016 03/31/2016 Current

DALLAS, TX 75211

KEY CHOICE LLC110179 83283081295420 DASHWOOD DRIVE SUITE 207 02/28/2021 02/21/2013 02/21/2013 03/22/2019 Current

HOUSTON, TX 77081

KEY DIALYSIS110376 83293997721400 CREEK WAY, SUITE 211 06/30/2022 06/14/2016 06/14/2016 06/29/2020 Current

SUGAR LAND, TX 77478

KIDNEY CARE CENTER110247 83283440804803 BISSONNET STREET SUITE A 05/31/2022 05/27/2014 05/27/2014 06/09/2020 Current

BELLAIRE, TX 77401

KIDNEY CENTER OF JASPER007327 4093844200930 MARVIN HANCOCK DRIVE 06/30/2022 06/11/2001 06/11/2001 02/02/2005 Current

JASPER, TX 75951

KIDNEY DISEASE CLINIC OF

CENTRAL SAN ANTONIO

110227 2102254733305 N. FRIO 11/30/2021 11/01/2013 12/12/2013 11/01/2019 Current

SAN ANTONIO, TX 78207

KIDNEY TREATMENT CENTER EAST

PA

007035 21053196931608 SOUTH NEW BRAUNFELS 06/30/2022 06/30/1999 06/30/1999 07/06/2020 Current

SAN ANTONIO, TX 78210

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

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LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

KIDNEY TREATMENT CENTER INC000043 2106921515803 CASTROVILLE ROAD SUITE 401 08/31/2020 09/01/1996 09/01/1996 10/01/2018 Current

SAN ANTONIO, TX 78237

KIDNEY TREATMENT CENTER

NORTHWEST PA

007316 21069215153939 MEDICAL DRIVE SUITE 110 05/31/2021 05/24/2001 05/24/2001 04/25/2014 Current

SAN ANTONIO, TX 78229

KILGORE DIALYSIS CENTER008034 90398882002403 NORTH STATE HIGHWAY 42 02/28/2021 02/26/2004 02/26/2004 02/07/2019 Current

KILGORE, TX 75662

KILLEEN KIDNEY CENTER000168 2545543366726 SOUTH FORT HOOD STREET 01/31/2021 09/01/1996 09/01/1996 01/14/2019 Current

KILLEEN, TX 76541

KIRBY KIDNEY DISEASE CENTER110216 21066102014653 BINZ ENGELMAN ROAD SUITE

2

11/30/2021 11/01/2013 11/01/2013 08/23/2017 Current

SAN ANTONIO, TX 78219

LA CENTRAL DIALYSIS110240 9565238652902 HOUSTON ST 04/30/2022 04/02/2014 04/02/2014 04/02/2014 Current

LAREDO, TX 78040

LAKE CLIFF DIALYSIS CENTER008593 2149427727805 NORTH BECKLEY AVENUE 11/30/2021 11/29/2007 11/29/2007 11/29/2007 Current

DALLAS, TX 75203

LAKE JACKSON DIALYSIS110303 9792996565450 THIS WAY STREET SUITE A 08/31/2020 08/01/2014 08/01/2014 08/01/2014 Current

LAKE JACKSON, TX 77566

LAMARQUE DIALYSIS110477 40993528907236 MEDICAL CENTER DRIVE 04/30/2022 04/18/2018 04/18/2018 04/18/2018 Current

TEXAS CITY, TX 77591

LANCASTER DIALYSIS008260 97222392922424 WEST PLEASANT RUN ROAD 08/31/2021 08/23/2005 08/23/2005 08/13/2019 Current

LANCASTER, TX 75146

LAREDO NORTH CREEK DIALYSIS110460 95672552032443 MONARCH DRIVE 10/31/2021 10/31/2017 10/31/2017 11/01/2017 Current

LAREDO, TX 78045

LAS PALMAS DIALYSIS CENTER008251 2104389290803 CASTROVILLE ROAD SUITE 415 07/31/2021 07/29/2005 07/29/2005 08/01/2009 Current

SAN ANTONIO, TX 78237

LEANDER DIALYSIS110456 51226041022906 BAGDAD ROAD SUITE 120 10/31/2021 10/18/2017 10/18/2017 10/18/2017 Current

LEANDER, TX 78641

LEXINGTON DIALYSIS110300 832783909016035 LEXINGTON BOULEVARD 02/28/2021 02/24/2015 02/24/2015 02/27/2015 Current

SUGAR LAND, TX 77479

LIBERTY DIALYSIS - CEDAR HILL110432 2144447386458 N HWY 67 SUITE 400 06/30/2021 06/09/2017 06/09/2017 06/09/2017 Current

CEDAR HILL, TX 75104

LIBERTY DIALYSIS - CHARLTON110236 46951857313571 W WHEATLAND ROAD SUITE

103

02/28/2022 02/03/2014 02/03/2014 02/03/2014 Current

DALLAS, TX 75237

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

LIBERTY DIALYSIS - EAST DALLAS110500 214273264911255 GARLAND ROAD SUITE 1160 09/30/2020 09/06/2018 09/06/2018 09/06/2018 Current

DALLAS, TX 75218

LIBERTY DIALYSIS - GASTON

AVENUE

110408 97223217303417 GASTON AVENUE SUITE 180 12/31/2020 12/20/2016 12/20/2016 12/20/2016 Current

DALLAS, TX 75246

LIBERTY DIALYSIS - HUNTSVILLE110259 9362953180540 INTERSTATE 45 SOUTH 08/31/2022 08/25/2014 08/25/2014 08/25/2014 Current

HUNTSVILLE, TX 77340

LIBERTY DIALYSIS - IRVING110077 97274647471111 W AIRPORT FREEWAY SUITE

101

05/31/2021 05/13/2011 05/13/2011 07/16/2019 Current

IRVING, TX 75062

LIBERTY DIALYSIS - LAKE

LEWISVILLE

110132 94049714143400 CORINTH PARKWAY, SUITE

130

06/30/2022 06/06/2012 06/06/2012 06/10/2020 Current

CORINTH, TX 76208-1311

LIBERTY DIALYSIS - MANSFIELD110275 81722544332651 E BROAD STREET SUITE 109 12/31/2020 12/03/2014 12/03/2014 12/03/2014 Current

MANSFIELD, TX 76063

LIBERTY DIALYSIS - RICHARDSON110171 97290714801621 NORTH CENTRAL

EXPRESSWAY SUITE 200

12/31/2020 12/13/2012 12/13/2012 12/14/2012 Current

RICHARDSON, TX 75080

LIBERTY DIALYSIS - VICTORIA110044 3614851148606 E. LOCUST AVENUE 06/30/2022 06/07/2010 06/07/2010 06/07/2010 Current

VICTORIA, TX 77901

LIBERTY DIALYSIS - WAXAHACHIE110066 97235185751011 NORTH HIGHWAY 77 SUITE 102 03/31/2021 03/09/2011 03/09/2011 03/15/2016 Current

WAXAHACHIE, TX 75165

LIBERTY DIALYSIS - WEST GRAND

PRAIRIE

110435 97237500284045 S GREAT SW PKWY SUITE 100 07/31/2021 07/12/2017 07/12/2017 07/12/2017 Current

GRAND PRAIRIE, TX 75052

LIBERTY DIALYSIS - WYLIE MURPHY110200 97242937002300 FM 544, SUITE 140 08/31/2021 08/27/2013 08/27/2013 08/27/2013 Current

WYLIE, TX 75098

LIBERTY DIALYSIS BRENHAM LLC110017 9793534440604 MEDICAL COURTS 09/30/2021 09/02/2009 09/02/2009 12/12/2013 Current

BRENHAM, TX 77833

LIBERTY DIALYSIS BRYAN008727 97931415502390 EAST 29TH STREET 11/30/2020 11/24/2008 11/24/2008 11/01/2018 Current

BRYAN, TX 77802

LIBERTY DIALYSIS COLLEGE

STATION LLC

110016 97931415603314 LONGMIRE DRIVE 08/31/2021 08/14/2009 08/14/2009 10/23/2013 Current

COLLEGE STATION, TX 77845

LIBERTY DIALYSIS DUNCANVILLE008696 21430202381038 US HWY 67 09/30/2020 09/11/2008 09/11/2008 10/04/2013 Current

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

DUNCANVILLE, TX 75137

LIBERTY DIALYSIS MESQUITE008584 21498941103330 NORTH GALLOWAY AVENUE

SUITE 160

11/30/2021 11/08/2007 11/08/2007 10/18/2018 Current

MESQUITE, TX 75150

LIBERTY DIALYSIS OF SOUTH

LEWISVILLE

110295 4695497424101 EAST SOUTHWEST PARKWAY

SUITE #110

02/28/2021 02/03/2015 02/03/2015 02/24/2020 Current

LEWISVILLE, TX 75067

LIBERTY DIALYSIS ROCKWALL008695 97296143362850 RIDGE ROAD SUITE 112 09/30/2020 09/11/2008 09/11/2008 10/16/2014 Current

ROCKWALL, TX 75032

LIBERTY DIALYSIS- LANCASTER008278 97223077783250 WEST PLEASANT RUN ROAD

SUITE 280

09/30/2021 09/26/2005 09/26/2005 09/10/2019 Current

LANCASTER, TX 75146

LITTLE YORK DIALYSIS CENTER110570 83283160662711 LITTLE YORK ROAD 06/30/2022 06/29/2020 06/29/2020 06/29/2020 Current

HOUSTON, TX 77093

LIVE OAK DIALYSIS110051 21059001036700 RANDOLPH BLVD SUITE 101 09/30/2020 09/02/2010 09/02/2010 03/18/2011 Current

LIVE OAK, TX 78233

LIVINGSTON DIALYSIS CENTER008545 9363271108209 WEST PARK DRIVE 08/31/2021 08/17/2007 08/17/2007 08/17/2007 Current

LIVINGSTON, TX 77351

LOCKEHILL KIDNEY DISEASE CLINIC110209 210641600010134 HUEBNER ROAD 11/30/2021 11/01/2013 11/01/2013 10/17/2019 Current

SAN ANTONIO, TX 78240

LOCKHART DIALYSIS110322 51239864191806 SOUTH COLORADO STREET 07/31/2021 07/10/2015 07/10/2015 07/10/2015 Current

LOCKHART, TX 78644

LOMA VISTA DIALYSIS CENTER000264 91559108341382 LOMALAND DRIVE SUITE A 12/31/2021 01/01/1997 01/01/1997 07/19/2013 Current

EL PASO, TX 79935

LONE STAR DIALYSIS007901 71337860948560 MONROE ROAD 12/31/2021 12/12/2002 12/12/2002 06/02/2003 Current

HOUSTON, TX 77061

LONGVIEW DIALYSIS CENTER110549 43024082243110 H G MOSLEY PARKWAY 10/31/2021 10/31/2019 10/31/2019 10/31/2019 Current

LONGVIEW, TX 75605

LOWER GREENVILLE DIALYSIS110495 21482880174405 ROSS AVENUE 08/31/2020 08/22/2018 08/22/2018 08/22/2018 Current

DALLAS, TX 75204

LUBBOCK DIALYSIS CENTER

REDBUD

008023 80678562851126 SLIDE ROAD SUITE 4A 02/28/2022 02/09/2004 02/09/2004 02/09/2004 Current

LUBBOCK, TX 79416

LUFKIN DIALYSIS CENTER008508 9366342224700 SOUTH JOHN REDDITT 05/31/2021 05/07/2007 05/07/2007 09/10/2014 Current

LUFKIN, TX 75904

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

LUXURY DIALYSIS110534 2815256427600 KOBAYASHI ROAD SUITE 108 05/31/2021 05/20/2019 05/20/2019 05/20/2019 Current

WEBSTER, TX 77598

MAGNOLIA DIALYSIS CENTER008670 281259039717649 FM 1488 RD 07/31/2022 07/08/2008 07/08/2008 07/08/2008 Current

MAGNOLIA, TX 773545235

MAINLAND DIALYSIS110369 40993816784201 GULF FREEWAY 05/31/2022 05/20/2016 05/20/2016 05/20/2016 Current

LA MARQUE, TX 77568

MANSFIELD DIALYSIS CENTER110378 8174538167352 MATLOCK ROAD SUITE 120 06/30/2022 06/23/2016 06/23/2016 09/27/2016 Current

MANSFIELD, TX 76063

MARSHALL DIALYSIS CENTER006173 90393511581301 SOUTH WASHINGTON 10/31/2020 11/01/1997 11/01/1997 11/19/1997 Current

MARSHALL, TX 75670

MARYMONT DIALYSIS CENTER008252 21064687882391 NE LOOP 410 SUITE 211 07/31/2021 07/29/2005 07/29/2005 07/29/2005 Current

SAN ANTONIO, TX 78217

MASON DIALYSIS110389 28157990572922 NORTH MASON ROAD SUITE

100

09/30/2020 09/07/2016 09/07/2016 09/07/2016 Current

KATY, TX 77449

MATAGORDA DIALYSIS CARE LLP110228 97924500991105 AVENUE H 12/31/2021 12/01/2013 12/13/2013 12/01/2013 Current

BAY CITY, TX 77414

MAY STREET DIALYSIS110325 9363490326712 SOUTH MAY STREET 07/31/2021 07/24/2015 07/24/2015 07/24/2015 Current

MADISONVILLE, TX 77864

MCKINNEY CORNER DIALYSIS110459 97298419744601 MEDICAL CENTER DRIVE

SUITE G

10/31/2021 10/30/2017 10/30/2017 10/30/2017 Current

MCKINNEY, TX 75069

MCKINNEY DIALYSIS110064 97254204954717 MEDICAL CENTER DRIVE 02/28/2021 02/16/2011 02/16/2011 10/27/2011 Current

MCKINNEY, TX 75069

MCKINNEY ON 380 DIALYSIS110345 21449142635329 W UNIVERSITY DR 12/31/2021 12/08/2015 12/08/2015 12/08/2015 Current

MCKINNEY, TX 75071

MED CENTER DIALYSIS007164 71352068785610 ALMEDA ROAD 03/31/2021 03/24/2000 03/24/2000 02/15/2011 Current

HOUSTON, TX 77004

MED-CENTER AT HOME008511 71379001507580 FANNIN STREET SUITE 230 05/31/2021 05/14/2007 05/14/2007 05/14/2007 Current

HOUSTON, TX 77054

MEDICAL ARTS KIDNEY CENTER OF

ENNIS

008547 9728758469711 SOUTH CLAY 08/31/2021 08/22/2007 08/22/2007 08/22/2007 Current

ENNIS, TX 75119

MEDICAL CENTER KIDNEY CLINIC008207 71379799092254 HOLCOMBE BOULEVARD 04/30/2021 04/25/2005 04/25/2005 05/01/2019 Current

HOUSTON, TX 77030

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

MEMORIAL DIALYSIS CENTER008214 281558570211621 KATY FREEWAY 05/31/2021 05/02/2005 05/02/2005 05/02/2005 Current

HOUSTON, TX 77079

MERCEDES DIALYSIS110528 95651425961307 CAMERON STREET 04/30/2021 04/11/2019 04/11/2019 04/11/2019 Current

MERCEDES, TX 78570

MERIDIAN DIALYSIS CENTER110533 28154297657520 SPENCER HIGHWAY 05/31/2021 05/06/2019 05/06/2019 05/06/2019 Current

PASADENA, TX 77505

MESA VISTA DIALYSIS110442 91553381471211 EAST CLIFF DRIVE SUITE C 08/31/2021 08/14/2017 08/14/2017 08/14/2017 Current

EL PASO, TX 79902

METRO EAST DIALYSIS CENTER000058 9722881060909 GROSS ROAD SUITE 200 09/30/2021 09/01/1996 09/01/1996 11/13/1997 Current

MESQUITE, TX 75149

MID CITIES DIALYSIS CENTER008590 8176562843117 EAST HARWOOD ROAD 11/30/2021 11/28/2007 11/28/2007 10/24/2019 Current

HURST, TX 76054

MIDLAND DIALYSIS110112 4326861806705 W. WADLEY AVENUE 12/31/2021 12/01/2011 01/31/2012 10/05/2015 Current

MIDLAND, TX 79705

MIDTOWN KIDNEY CENTER110429 71369934509126 EASTEX FREEWAY 05/31/2021 05/09/2017 05/09/2017 05/09/2017 Current

HOUSTON, TX 77093

MISSION HILLS DIALYSIS007906 91535107222700 NORTH STANTON 12/31/2021 12/23/2002 12/23/2002 04/11/2003 Current

EL PASO, TX 79902

MISSION KIDNEY CENTER006368 9565192999901 PLAZA DRIVE 11/30/2021 12/01/1997 12/01/1997 10/08/2019 Current

MISSION, TX 78572

MISSION VALLEY DIALYSIS110032 95658337601203 ST CLAIRE BLVD 9B 02/28/2022 02/08/2010 02/08/2010 01/29/2020 Current

MISSION, TX 78572

MONTANA VISTA DIALYSIS110347 91558483742204 JOE BATTLE BOULEVARD

SUITE A

12/31/2021 12/18/2015 12/18/2015 12/18/2015 Current

EL PASO, TX 79938

MORGAN AVENUE DIALYSIS008344 36188411132222 SOUTH MORGAN AVE SUITE

104

04/30/2022 04/14/2006 04/14/2006 12/15/2011 Current

CORPUS CHRISTI, TX 78405

MOUNTAIN PASS DIALYSIS110466 91556450525612 DYER STREET 12/31/2021 12/14/2017 12/14/2017 12/14/2017 Current

EL PASO, TX 79904

MT PLEASANT DIALYSIS CENTER000077 9035721757628 SOUTH JEFFERSON 10/31/2020 09/01/1996 09/01/1996 10/12/2018 Current

MOUNT PLEASANT, TX 75455

NACOGDOCHES DIALYSIS CENTER LP110360 93655900313226 N UNIVERSITY DRIVE SUITE

100

02/28/2021 03/01/2015 03/01/2015 03/18/2016 Current

NACOGDOCHES, TX 75965

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

NEW BRAUNFELS DIALYSIS110368 8306292848798 GENERATIONS DRIVE 05/31/2022 05/12/2016 05/12/2016 05/16/2016 Current

NEW BRAUNFELS, TX 78130

NEW BRAUNFELS KIDNEY DISEASE

CLINIC

110211 83060603331561 IH 35 NORTH 11/30/2021 11/01/2013 11/01/2013 11/01/2013 Current

NEW BRAUNFELS, TX 78130

NEW CENTURY DIALYSIS CENTER008694 40938427112014 SOUTH WHEELER SUITE 300 09/30/2020 09/08/2008 09/08/2008 07/10/2019 Current

JASPER, TX 75951

NNA NORTH110084 512873034612221 RENFERT WAY SUITE 100 06/30/2021 06/20/2011 06/20/2011 07/23/2019 Current

AUSTIN, TX 78758

NNA OF TEXAS LP BASTROP007266 5125819993423 OLD AUSTIN HIGHWAY 02/28/2021 02/13/2001 02/13/2001 02/14/2011 Current

BASTROP, TX 78602

NNA OF TEXAS LP MARBLE FALLS007265 8307989575802 STEVE HAWKINS PARKWAY 02/28/2022 02/13/2001 02/13/2001 02/03/2017 Current

MARBLE FALLS, TX 78654

NNA ROUND ROCK007110 51267180121499 E OLD SETTLERS BOULEVARD

SUITE A

09/30/2021 09/07/1999 09/07/1999 08/13/2013 Current

ROUND ROCK, TX 78664

NNA SAN MARCOS008575 51287824201340 WONDER WORLD DRIVE SUITE

4100

10/31/2021 10/18/2007 10/18/2007 10/18/2007 Current

SAN MARCOS, TX 78666

NNA SOUTH007106 5127077601621 RADAM LANE 09/30/2021 09/07/1999 09/07/1999 06/26/2012 Current

AUSTIN, TX 78745

NORTH ARLINGTON DIALYSIS110148 8175420529642 LINCOLN SQUARE 08/31/2020 08/21/2012 08/21/2012 04/28/2017 Current

ARLINGTON, TX 76011

NORTH BUCKNER DIALYSIS CENTER007140 21436788803650 NORTH BUCKNER BLVD SUITE

108

12/31/2021 12/13/1999 12/13/1999 05/30/2001 Current

DALLAS, TX 75228

NORTH CENTRAL KIDNEY DISEASE

CENTER

110210 2104994003116 GALLERY CIRCLE SUITE 102 11/30/2021 11/01/2013 11/01/2013 02/10/2014 Current

SAN ANTONIO, TX 78258

NORTH CONROE DIALYSIS110103 93675694003211 INTERSTATE 45 NORTH SUITE

500

10/31/2021 10/25/2011 10/25/2011 02/21/2014 Current

CONROE, TX 77304

NORTH CYPRESS MEDICAL

CENTER-A CAMPUS OF KINGWOOD

MEDICAL CENTER

110530 832912374521216 NORTHWEST FREEWAY

SUITE 320

08/31/2020 08/31/2018 08/31/2018 04/24/2019 Current

CYPRESS, TX 77429

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

NORTH FORT WORTH DIALYSIS110178 68264700133812 EAST BELLKNAP STREET 02/28/2021 02/14/2013 02/14/2013 01/29/2019 Current

FORT WORTH, TX 76111

NORTH HOUSTON DIALYSIS CENTER110149 71369937488621 FULTON STREET 09/30/2020 09/10/2012 09/10/2012 10/04/2018 Current

HOUSTON, TX 77022

NORTH LOOP EAST DIALYSIS007314 71367584997139 NORTH LOOP EAST 05/31/2021 05/22/2001 05/22/2001 05/22/2001 Current

HOUSTON, TX 77028

NORTH PARK DIALYSIS110181 2814432209324 FM 1960 ROAD SUITE 104 10/31/2020 10/01/2012 03/08/2013 10/01/2012 Current

HOUSTON, TX 77073

NORTH SHEPHERD DIALYSIS110277 71369711157272 N SHEPHERD DRIVE 08/31/2020 08/01/2014 12/05/2014 09/12/2018 Current

HOUSTON, TX 77091

NORTHEAST FORT WORTH DIALYSIS

CENTER

000243 81758115154121 DENTON HIGHWAY 04/30/2022 03/14/1997 03/14/1997 03/10/2020 Current

HALTOM CITY, TX 76117

NORTHEAST TEXAS DIALYSIS110235 9037995843413B LOOP 59 01/31/2022 01/31/2014 01/31/2014 01/31/2014 Current

ATLANTA, TX 75551

NORTHSTAR DIALYSIS CENTER007129 2814484506380 WEST LITTLE YORK 11/30/2021 11/24/1999 11/24/1999 11/04/2019 Current

HOUSTON, TX 77076

NORTHWEST KIDNEY CENTER110233 713812121710985 NORTHWEST FWY 01/31/2022 01/10/2014 01/10/2014 01/10/2014 Current

HOUSTON, TX 77092

NORTHWEST MEDICAL CENTER

DIALYSIS

008230 21061696995284 MEDICAL DRIVE SUITE 100 06/30/2021 06/22/2005 06/22/2005 06/22/2005 Current

SAN ANTONIO, TX 78229

OAK CLIFF DIALYSIS008113 21494300112000 SOUTH LLEWELLYN AVENUE 09/30/2020 09/07/2004 09/07/2004 09/07/2004 Current

DALLAS, TX 75224

ODESSA DIALYSIS110230 43236230086005 EASTRIDGE ROAD 05/31/2021 05/01/2013 01/08/2014 05/01/2013 Current

ODESSA, TX 79762

OMNI DIALYSIS CENTER007885 71366547479350 KIRBY DRIVE SUITE 110 10/31/2020 10/16/2002 10/16/2002 10/09/2018 Current

HOUSTON, TX 77054

ONE ON ONE KIDNEY CARE110508 83287533544300 FAIRMONT PARKWAY SUITE

100

10/31/2020 10/15/2018 10/15/2018 10/15/2018 Current

PASADENA, TX 77504

PALESTINE DIALYSIS008061 90372372022260 SOUTH SYCAMORE STREET 05/31/2022 05/06/2004 05/06/2004 10/14/2014 Current

PALESTINE, TX 75801

PEARLAND DIALYSIS007842 28141274226516 BROADWAY SUITE 122 04/30/2021 04/17/2002 04/17/2002 06/26/2002 Current

PEARLAND, TX 77581

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

PEARSALL DIALYSIS000015 83033446901305 NORTH OAK STREET 08/31/2020 09/01/1996 09/01/1996 09/20/2018 Current

PEARSALL, TX 78061

PFLUGERVILLE DIALYSIS110486 51299077852606 WEST PECAN STREET BLDG 3

SUITE 300

06/30/2022 06/22/2018 06/22/2018 06/22/2018 Current

PFLUGERVILLE, TX 78660

PHYSICIANS DIALYSIS DENTON110282 30565132613305 UNICORN LAKE BOULEVARD 12/31/2020 12/16/2014 12/16/2014 01/10/2019 Current

DENTON, TX 76210

PHYSICIANS DIALYSIS FRISCO110411 30565132616116 SPORTS VILLAGE ROAD 12/31/2020 12/29/2016 12/29/2016 05/05/2017 Current

FRISCO, TX 75033

PHYSICIANS DIALYSIS NORTH

HOUSTON

008011 71367547947115 NORTH LOOP EAST 12/31/2021 12/15/2003 12/15/2003 11/18/2019 Current

HOUSTON, TX 77028

PHYSICIANS DIALYSIS SOUTH

HOUSTON

008039 71364161305989 SOUTH LOOP EAST 03/31/2022 03/10/2004 03/10/2004 02/18/2020 Current

HOUSTON, TX 77033

PIN OAK DIALYSIS110463 281574438724968 KATY RANCH ROAD SUITE

500

11/30/2021 11/21/2017 11/21/2017 11/21/2017 Current

KATY, TX 77494

PINE PARK DIALYSIS110257 71394314633333 BAYSHORE BLVD 08/31/2020 08/11/2014 08/11/2014 08/11/2014 Current

PASADENA, TX 77504

PINECREST DIALYSIS CENTER008108 9039349660913 PINECREST DRIVE 09/30/2021 09/03/2004 09/03/2004 02/15/2018 Current

MARSHALL, TX 75670

PLANO DIALYSIS CENTER008724 9728813270481 SHILOH ROAD SUITE 100 11/30/2020 11/18/2008 11/18/2008 04/03/2014 Current

PLANO, TX 750747231

PLANO ON CUSTER DIALYSIS110326 97257870471301 CUSTER ROAD SUITE 524 08/31/2021 08/04/2015 08/04/2015 08/04/2015 Current

PLANO, TX 75075

PLANO TOLLWAY DIALYSIS110327 97247378916101 WINDHAVEN PKWY SUITE 165 08/31/2021 08/07/2015 08/07/2015 08/07/2015 Current

PLANO, TX 75093

PORT LAVACA DIALYSIS008733 36155238001300 NORTH VIRGINIA STREET

SUITE 102

12/31/2020 12/16/2008 10/01/2008 12/16/2010 Current

PORT LAVACA, TX 77979

POST OAK DIALYSIS110501 71341390754751 WEST FUQUA STREET 09/30/2020 09/13/2018 09/13/2018 09/13/2018 Current

HOUSTON, TX 77045

PRESTON DIALYSIS110471 972239503413340 PRESTON ROAD 01/31/2022 01/19/2018 01/19/2018 01/19/2018 Current

DALLAS, TX 75240

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

PROSPER DIALYSIS110529 9723479268241 NORTH PRESTON ROAD SUITE A 04/30/2021 04/18/2019 04/18/2019 04/18/2019 Current

PROSPER, TX 75078

QUALITY DIALYSIS TWO LP110451 281491400913311 PIKE ROAD 09/30/2021 09/27/2017 09/27/2017 09/27/2017 Current

STAFFORD, TX 77477

RCG HARLINGEN007333 95641210971653 TREASURE HILLS BLVD 06/30/2022 06/26/2001 06/26/2001 06/07/2016 Current

HARLINGEN, TX 78550

REDBIRD DIALYSIS CENTER000075 97270902124111 CAMP WISDOM ROAD 10/31/2020 09/01/1996 09/01/1996 10/29/2018 Current

DALLAS, TX 75237

REEVES COUNTY HOSPITAL

DIALYSIS CENTER

008098 43244735512323 TEXAS STREET 08/31/2021 08/03/2004 08/03/2004 11/09/2004 Current

PECOS, TX 79772

REGIONAL DIALYSIS CENTER OF

LANCASTER

110261 97227401922500 WEST PLEASANT RUN ROAD

SUITE 100

09/30/2020 09/10/2014 09/10/2014 09/10/2014 Current

LANCASTER, TX 75146

REGIONAL DIALYSIS CENTER OF

MESQUITE

110266 97261347151650 REPUBLIC PARKWAY SUITE

100

10/31/2020 10/07/2014 10/07/2014 10/07/2014 Current

MESQUITE, TX 75150

RELIANT DIALYSIS007308 71379406001335 LA CONCHA LANE 05/31/2021 05/17/2001 05/17/2001 05/17/2001 Current

HOUSTON, TX 77054

RENAL CARE GROUP - GILMER110379 9038417000812 US HWY 271 N 07/31/2020 07/01/2016 07/01/2016 07/01/2016 Current

GILMER, TX 75644

RENAL CARE GROUP IRVING008000 97287182821625 NORTH STORY ROAD SUITE

140

10/31/2021 10/30/2003 10/30/2003 03/26/2020 Current

IRVING, TX 75061

RENAL CARE GROUP JACKSONVILLE007932 9035893828908 EAST LOOP 456 SUITE 100 03/31/2021 03/14/2003 03/14/2003 12/13/2019 Current

JACKSONVILLE, TX 75766

RENAL CARE GROUP MINEOLA007862 9035699252102 MAXINE DRIVE 07/31/2021 07/09/2002 07/09/2002 10/31/2002 Current

MINEOLA, TX 75773

RENAL CARE GROUP ROBSTOWN008016 3617670408902 LINCOLN AVENUE 12/31/2021 12/30/2003 12/30/2003 11/01/2019 Current

ROBSTOWN, TX 78380

RENAL CENTER FLOWER MOUND110318 97253755724941 LONG PRAIRIE ROAD 07/31/2021 07/02/2015 07/02/2015 04/05/2016 Current

FLOWER MOUND, TX 75028

RENAL CENTER OF BEAUMONT110164 40983866023050 LIBERTY AVENUE 11/30/2020 11/15/2012 11/15/2012 04/13/2020 Current

BEAUMONT, TX 77702

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

RENAL CENTER OF CARROLLTON008083 97230684104240 INTERNATIONAL PARKWAY

SUITE 158

07/31/2022 07/08/2004 07/08/2004 08/23/2018 Current

CARROLLTON, TX 75007

RENAL CENTER OF FORT WORTH110094 8718705002251 UNIVERSITY DR, SUITE 101 09/30/2021 09/09/2011 09/09/2011 09/16/2019 Current

FORT WORTH, TX 76107

RENAL CENTER OF FRISCO110028 214872242110850 FRISCO STREET SUITE 300 01/31/2022 01/04/2010 01/04/2010 12/02/2019 Current

FRISCO, TX 75034

RENAL CENTER OF KELLER110202 817431653310708 VICTORIA ASH DRIVE 08/31/2021 08/30/2013 08/30/2013 08/13/2019 Current

FORT WORTH, TX 76244

RENAL CENTER OF LEWISVILLE008535 97243672111600 WATER RIDGE SUITE B 07/31/2021 07/20/2007 07/20/2007 07/23/2019 Current

LEWISVILLE, TX 75057

RENAL CENTER OF NEDERLAND110109 40972922128797 9TH AVENUE 01/31/2022 01/12/2012 01/12/2012 12/09/2019 Current

PORT ARTHUR, TX 77642

RENAL CENTER OF NORTH DALLAS

LLC

110170 97278901926190 LBJ FREEWAY SUITE 701 11/30/2020 11/30/2012 11/30/2012 03/23/2020 Current

DALLAS, TX 75240

RENAL CENTER OF NORTH DENTON

LLLP

008426 94056627014309 MESA DRIVE 11/30/2020 11/22/2006 11/22/2006 11/22/2006 Current

DENTON, TX 76207

RENAL CENTER OF ORANGE110110 4098834001280 STRICKLAND DRIVE 01/31/2022 01/12/2012 01/12/2012 12/03/2019 Current

ORANGE, TX 77630

RENAL CENTER OF PLANO110080 97260878314112 W SPRING CREEK PARKWAY

SUITE D-200

05/31/2021 05/19/2011 05/19/2011 05/19/2011 Current

PLANO, TX 75024

RENAL CENTER OF PORT ARTHUR110107 40998341103730 DRYDEN ROAD 12/31/2021 12/28/2011 12/28/2011 05/24/2019 Current

PORT ARTHUR, TX 77642

RENAL CENTER OF THE HILLS008739 81728433436331 BOULEVARD 26 SUITE 200 12/31/2020 12/29/2008 12/29/2008 09/07/2011 Current

NORTH RICHLAND HILLS, TX 76180

RENAL CENTER OF TYLER007969 9035960102510 SOUTH SOUTHWEST LOOP 323

SUITE 580

07/31/2022 07/22/2003 07/22/2003 06/23/2020 Current

TYLER, TX 75702

RENAL CENTER OF WATERTON008736 90356102922895 SHILOH ROAD 12/31/2020 12/19/2008 12/19/2008 12/19/2008 Current

TYLER, TX 75703

RENNER ROAD HOME DIALYSIS

CLINIC

110440 97223445863317 ESSEX DRIVE SUITE 150 08/31/2021 08/08/2017 08/08/2017 08/08/2017 Current

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

RICHARDSON, TX 75082

RIDGECREST DIALYSIS110343 915790083912249 ROJAS DRIVE 09/30/2021 10/01/2015 10/01/2015 10/01/2015 Current

EL PASO, TX 79936

RIVER PARK DIALYSIS008091 93676033332010 SOUTH LOOP 336 WEST SUITE

200

07/31/2022 07/13/2004 07/13/2004 12/02/2004 Current

CONROE, TX 77034

RIVERCENTER DIALYSIS008227 21027078871123 NORTH MAIN AVE STE 150 06/30/2021 06/09/2005 06/09/2005 06/09/2005 Current

SAN ANTONIO, TX 78212

RIVERSIDE RENAL CENTER110557 3710 FM 1889 03/31/2022 03/18/2020 03/18/2020 03/18/2020 Current

CORPUS CHRISTI, TX 78410

RIVERSIDE RENAL CENTER008342 361241487313434 LEOPARD STREET SUITE A-17 04/30/2022 04/14/2006 04/14/2006 12/22/2011 Current

CORPUS CHRISTI, TX 78410

RIVERSTONE DIALYSIS110280 28144989505672 HIGHWAY 6 12/31/2020 12/09/2014 12/09/2014 12/09/2014 Current

MISSOURI CITY, TX 77459

ROADRUNNER DIALYSIS110522 21052003415010 WISEMAN BLVD 01/31/2021 01/14/2019 01/14/2019 01/14/2019 Current

SAN ANTONIO, TX 78251

ROCK PRAIRIE ROAD DIALYSIS110450 97970469031724 BIRMINGHAM ROAD STE 101 09/30/2021 09/14/2017 09/14/2017 09/14/2017 Current

COLLEGE STATION, TX 77845

ROCKWALL DIALYSIS CENTER110504 97272247812346 GREENCREST BLVD 10/31/2020 10/05/2018 10/05/2018 10/05/2018 Current

ROCKWALL, TX 75087

ROMANO WOODS DIALYSIS110278 281893630016910 MATHIS CHURCH ROAD 08/31/2020 08/01/2014 12/05/2014 08/01/2014 Current

HOUSTON, TX 77090

ROSEDALE KIDNEY DISEASE

CENTER

110208 2104336991411 NORTH GENERAL MCMULLEN 11/30/2021 11/01/2013 11/01/2013 11/01/2013 Current

SAN ANTONIO, TX 78237

ROSENBERG HOME TRAINING110571 34684330667607 TOWN CENTER BLVD 07/31/2022 07/07/2020 07/07/2020 07/07/2020 Current

ROSENBERG, TX 77471

ROUND ROCK DIALYSIS110309 51231087971800 ROUND ROCK AVENUE SUITE

200

05/31/2021 05/08/2015 05/08/2015 05/08/2015 Current

ROUND ROCK, TX 78681

ROWLETT DIALYSIS110509 21460714797700 LAKEVIEW PARKWAY SUITE

100A

10/31/2020 10/19/2018 10/19/2018 10/19/2018 Current

ROWLETT, TX 75088

RRC WEST FORT WORTH008689 81788632005601 LOCKE AVENUE SUITE 101 08/31/2020 08/26/2008 08/26/2008 02/18/2020 Current

FORT WORTH, TX 76107

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

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LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

SAGEMEADOW DIALYSIS110029 281922613010923 SCARSDALE BLVD 01/31/2022 01/08/2010 01/08/2010 05/14/2014 Current

HOUSTON, TX 77089

SAGEMONT DIALYSIS110527 28199679131823 BROADWAY STREET 04/30/2021 04/08/2019 04/08/2019 07/22/2020 Inactive

PEARLAND, TX 77581

SAN ANGELO DIALYSIS110139 32594960353518 KNICKERBOCKER ROAD 06/30/2022 06/21/2012 06/21/2012 08/29/2012 Current

SAN ANGELO, TX 76904

SAN ANTONIO WEST DIALYSIS110085 21043190484530 CALLAGHAN ROAD 06/30/2021 06/21/2011 06/21/2011 06/21/2011 Current

SAN ANTONIO, TX 78228

SAN JACINTO DIALYSIS000121 713450499111430 EAST FREEWAY SUITE 330 09/30/2020 09/01/1996 09/01/1996 07/03/2018 Current

HOUSTON, TX 77029

SATELLITE HEALTHCARE KYLE110096 5122683100134 ELMHURST DRIVE 09/30/2021 09/12/2011 09/12/2011 09/12/2011 Current

KYLE, TX 78640

SATELLITE HEALTHCARE METRIC008451 512977030010000 METRIC BOULEVARD SUITE

100

02/28/2021 02/05/2007 02/05/2007 02/06/2019 Current

AUSTIN, TX 78758

SATELLITE HEALTHCARE MUELLER110238 51297203001801 EAST 51ST STREET BUILDING

G

03/31/2022 03/10/2014 03/10/2014 02/13/2020 Current

AUSTIN, TX 78723-3434

SATELLITE HEALTHCARE OF SOUTH

AUSTIN

110231 512282850010001 SOUTH INTERSTATE

HIGHWAY 35 BUILDING 1 SUITE 100

01/31/2022 01/08/2014 01/08/2014 12/20/2019 Current

AUSTIN, TX 78747

SATELLITE HEALTHCARE ROUND

ROCK

008459 512275010016010 PARK VALLEY DRIVE SUITE

100

02/28/2021 02/13/2007 02/13/2007 02/06/2019 Current

ROUND ROCK, TX 78681

SATELLITE HEALTHCARE SOUTH

LAREDO

110470 9567297411910 GUADALUPE STREET SUITE B 01/31/2022 01/19/2018 01/19/2018 01/19/2018 Current

LAREDO, TX 78040

SATELLITE HEALTHCARE

SOUTHEAST LAREDO

110352 95679181004151 JAIME ZAPATA MEMORIAL

HWY SUITE 105

12/31/2021 12/31/2015 12/31/2015 01/22/2016 Current

LAREDO, TX 78046

SATELLITE HEALTHCARE

SOUTHWOOD

008458 51238303001701 WEST BEN WHITE BLVD SUITE

180

02/28/2021 02/13/2007 02/13/2007 02/06/2019 Current

AUSTIN, TX 78704

SATELLITE WELLBOUND OF SOUTH

AUSTIN

110478 51273563009811 SOUTH INTERSTATE HIGHWAY

35 BLDG 4, SUITE 100

09/30/2020 10/01/2016 10/01/2016 04/18/2018 Current

AUSTIN, TX 78744

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

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LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

SCOTT & WHITE ARTIFICAL KIDNEY

UNIT

110154 25493558292601 THORNTON LANE 09/30/2020 09/26/2012 09/26/2012 10/11/2012 Current

TEMPLE, TX 76502

SCOTT & WHITE KILLEEN DIALYSIS

WEST

008509 25450164722201 SOUTH WS YOUNG SUITE 101B 05/31/2021 05/09/2007 05/09/2007 06/05/2019 Current

KILLEEN, TX 76541

SCOTT AND WHITE KILLEEN

DIALYSIS CENTER

007218 25468013713701 SCOTT AND WHITE DRIVE 09/30/2021 09/06/2000 09/06/2000 04/08/2014 Current

KILLEEN, TX 76541

SCOTT AND WHITE ROUND ROCK

DIALYSIS CENTER

007219 51223829292120 N MAYS ROCK CREEK PLAZA

SUITE 230

09/30/2020 09/06/2000 09/06/2000 09/06/2000 Current

ROUND ROCK, TX 78664

SEALY DIALYSIS008731 97962703002242 CHAMPIONSHIP DRIVE 12/31/2020 12/12/2008 12/12/2008 05/01/2020 Current

SEALY, TX 77474

SEASONS DIALYSIS LLC110242 71390417562000 CRAWFORD STREET SUITE 777 04/30/2022 04/17/2014 04/17/2014 04/17/2014 Current

HOUSTON, TX 77002

SEGUIN DIALYSIS110141 8303722521618 E COURT ST 07/31/2022 07/12/2012 07/12/2012 07/12/2012 Current

SEGUIN, TX 78155

SHERMAN CROSSROADS DIALYSIS110469 9034210272209 WEST TRAVIS STREET 01/31/2022 01/10/2018 01/10/2018 01/10/2018 Current

SHERMAN, TX 75091

SHERMAN DIALYSIS CENTER110476 90342103941724 WEST HIGHWAY 82 SUITE 100 04/30/2022 04/18/2018 04/18/2018 04/18/2018 Current

SHERMAN, TX 75092

SIENNA PLANTATION DIALYSIS110475 28177835009340 HIGHWAY 6 SUITE 400 04/30/2022 04/17/2018 04/17/2018 04/17/2018 Current

MISSOURI CITY, TX 77459

SINGULAR LUXURY DIALYSIS

PEARLAND LLC

110555 713413888111161 SHADOW CREEK PARKWAY

SUITE 101

01/31/2022 01/23/2020 01/23/2020 01/23/2020 Current

PEARLAND, TX 77584

SNG - BARLITE110053 21092233777500 BARLITE BLVD STE 103 03/31/2022 10/13/2010 10/13/2010 05/24/2011 Current

SAN ANTONIO, TX 78224

SNG - BELLAIRE DIALYSIS CENTER

LP

110246 71398872007243 BISSONNET STREET SUITE A 04/30/2022 04/01/2014 04/01/2014 05/22/2014 Current

HOUSTON, TX 77074

SNG - COLUMBIA SQUARE DIALYSIS

CENTER LP

110339 21045588361711 COLUMBIA SQUARE 10/31/2021 10/27/2015 10/27/2015 10/27/2015 Current

SAN ANTONIO, TX 78227

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

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LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

SNG - GREENVILLE DIALYSIS CENTER

LP

110241 90345599114309 RIDGECREST ROAD SUITE 100 02/28/2022 02/01/2014 04/16/2014 02/01/2014 Current

GREENVILLE, TX 75402

SNG - HILLCROFT DIALYSIS CENTER

LP

110133 71377209926015 HILLCROFT STREET STE 3000 10/31/2021 10/01/2011 06/07/2012 10/01/2011 Current

HOUSTON, TX 77081

SNG - LEAGUE CITY DIALYSIS LP110079 83234024042785 GULF FWY S SUITE 145 05/31/2021 05/18/2011 05/18/2011 05/18/2011 Current

LEAGUE CITY, TX 77573

SNG - LUFKIN DIALYSIS CENTER LP110251 93623835831520 W FRANK AVENUE 07/31/2022 07/21/2014 07/21/2014 07/22/2014 Current

LUFKIN, TX 75904

SNG - NORTHWEST DIALYSIS

CENTER LP

110134 71349073827112 STUEBNER AIRLINE ROAD 09/30/2021 09/01/2011 06/07/2012 09/17/2019 Current

HOUSTON, TX 77091

SNG - SAN AUGUSTINE DIALYSIS

CENTER LP

110114 9362753600403 N MILAM STREET 05/31/2021 05/01/2011 02/14/2012 05/30/2019 Current

SAN AUGUSTINE, TX 75972

SNG - SAN SABA110054 2107981955315 N SAN SABA SUITE 101 03/31/2022 10/14/2010 10/14/2010 04/20/2011 Current

SAN ANTONIO, TX 78207

SNG - SOHUM SOUTHEAST HOUSTON

DIALYSIS CENTER LP

110199 71384210107647 SOUTH FREEWAY 12/31/2020 12/31/2012 08/07/2013 12/14/2018 Current

HOUSTON, TX 77021

SNG - TEXAS CITY DIALYSIS LP110130 40994893003567 PALMER HIGHWAY SUITE C 10/31/2021 10/01/2009 05/23/2012 04/15/2014 Current

TEXAS CITY, TX 77590

SNG RENAL SOLUTIONS DIALYSIS

CENTER LP

110232 71368090562756 W TC JESTER BOULEVARD 07/31/2020 07/01/2012 01/09/2014 02/20/2014 Current

HOUSTON, TX 77018

SNG-PASADENA DIALYSIS CENTER LP110410 83270304505040 CRENSHAW ROAD SUITE 200 12/31/2020 12/28/2016 12/28/2016 01/24/2017 Current

PASADENA, TX 77505

SNG-SANDCASTLE DIALYSIS CENTER

LP

110093 40993304068900 EMMETT F LOWRY

EXPRESSWAY SUITE 201

12/31/2021 12/01/2009 09/02/2011 12/13/2019 Current

TEXAS CITY, TX 77591

SOCORRO DIALYSIS110392 915790053810697 N LOOP DRIVE 09/30/2020 09/20/2016 09/20/2016 09/20/2016 Current

SOCORRO, TX 79927-6400

SOUTH ARLINGTON DIALYSIS110273 81746585853415 SOUTH COOPER STREET SUITE

118

11/30/2020 11/17/2014 11/17/2014 11/17/2014 Current

ARLINGTON, TX 76015

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

SOUTH AUSTIN DIALYSIS CENTER008217 51244785006114 SOUTH 1ST STREET 05/31/2021 05/13/2005 05/13/2005 05/13/2005 Current

AUSTIN, TX 78745

SOUTH OAK CLIFF DIALYSIS CENTER000172 2149437065655 WEST ILLINOIS AVENUE SUITE

740

10/31/2021 09/01/1996 09/01/1996 08/15/1997 Current

DALLAS, TX 75224

SOUTH SAN ANTONIO DIALYSIS

CENTER

008523 21093224341313 SE MILITARY DRIVE SUITE 111 07/31/2021 07/03/2007 07/03/2007 07/03/2007 Current

SAN ANTONIO, TX 78214

SOUTH SHORE ANNEX DIALYSIS110244 281332471916750 HIGHWAY 3 05/31/2022 05/14/2014 05/14/2014 05/14/2014 Current

WEBSTER, TX 77598-2000

SOUTH SHORE DIALYSIS CENTER008213 2815546050212 GULF FWY S SUITE G3 05/31/2021 05/02/2005 05/02/2005 05/02/2005 Current

LEAGUE CITY, TX 77573

SOUTH TEXAS DIALYSIS CENTER000028 95658121361615 EAST EXPRESSWAY 83 11/30/2020 09/01/1996 09/01/1996 11/30/2010 Current

MISSION, TX 78572

SOUTHCROSS DIALYSIS CENTER008240 21064859884602 EAST SOUTHCROSS BLVD 07/31/2021 07/15/2005 07/15/2005 11/13/2017 Current

SAN ANTONIO, TX 78222

SOUTHEAST FORT WORTH DIALYSIS110268 81749690353845 E LOOP 820 S 10/31/2020 10/16/2014 10/16/2014 10/16/2014 Current

FORT WORTH, TX 76119

SOUTHEAST KIDNEY CENTER007935 71394795648537 BUILDING A GULF FREEWAY 03/31/2022 03/28/2003 03/28/2003 04/20/2020 Current

HOUSTON, TX 77017

SOUTHEAST TYLER DIALYSIS008046 90358152523826 TROUP HIGHWAY SUITE L 04/30/2021 04/02/2004 04/02/2004 04/26/2004 Current

TYLER, TX 75703

SOUTHFIELD DIALYSIS110354 713436026311600 BROADWAY ST 02/28/2022 02/02/2016 02/02/2016 02/02/2016 Current

PEARLAND, TX 77584

SOUTHSIDE DIALYSIS110453 36199452626018 PARKWAY DRIVE 09/30/2021 09/27/2017 09/27/2017 09/27/2017 Current

CORPUS CHRISTI, TX 78414

SOUTHSIDE KIDNEY DISEASE CLINIC000006 21092354751335 SOUTHEAST MILITARY DRIVE 09/30/2021 09/01/1996 09/01/1996 08/27/2019 Current

SAN ANTONIO, TX 78214

SOUTHWEST DIALYSIS CENTER007173 81773887034804 BRYANT IRVIN COURT 04/30/2022 05/01/2000 05/01/2000 07/11/2000 Current

FORT WORTH, TX 76107

SOUTHWEST SAN ANTONIO

DIALYSIS

000025 21092466841620 SOMERSET ROAD 05/31/2022 09/01/1996 09/01/1996 08/15/1997 Current

SAN ANTONIO, TX 78211

SOUTHWEST SAN ANTONIO

DIALYSIS

006022 21092345667515 BARLITE AVENUE 07/31/2021 07/01/1997 07/01/1997 07/25/2019 Current

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

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LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

SAN ANTONIO, TX 78224

SPACE CITY DIALYSIS CENTER LLC110127 40996503186518 MEMORIAL DRIVE 03/31/2022 03/12/2012 03/12/2012 03/14/2012 Current

TEXAS CITY, TX 77591

SPRING BRANCH DIALYSIS008076 71393277951425 BLALOCK SUITE 100 06/30/2021 06/10/2004 06/10/2004 06/10/2004 Current

HOUSTON, TX 77055

SPRING CREEK DIALYSIS110091 3615723343301 EAST AIRLINE ROAD 08/31/2021 08/03/2011 08/03/2011 08/03/2011 Current

VICTORIA, TX 77901

SPRING DIALYSIS008255 2818807066607 TIMBERDALE LANE SUITE 100 08/31/2021 08/11/2005 08/11/2005 08/02/2019 Current

HOUSTON, TX 77090

SPRINGWOODS DIALYSIS110337 28190762692950 FM 2920 ROAD SUITE 100 10/31/2021 10/05/2015 10/05/2015 10/05/2015 Current

SPRING, TX 77388

STONE OAK DIALYSIS110097 2104032162731 CARNOUSTIE DRIVE STE 101 10/31/2021 10/03/2011 10/03/2011 10/27/2011 Current

SAN ANTONIO, TX 78258

SUGAR LAND DIALYSIS008516 281240509513855 SOUTHWEST FREEWAY 05/31/2021 05/30/2007 05/30/2007 06/20/2019 Current

SUGAR LAND, TX 77478

SUGAR LAND HOME TRAINING110072 28127706921447 HWY 6 SUITE 130 04/30/2021 04/08/2011 04/08/2011 04/08/2011 Current

SUGAR LAND, TX 77478

SULPHUR SPRINGS DIALYSIS008369 90388539001401 MEDICAL DRIVE 06/30/2022 06/07/2006 06/07/2006 06/07/2006 Current

SULPHUR SPRINGS, TX 75482

SUMMIT DIALYSIS CENTER008274 71322835003150 POLK STREET 09/30/2021 09/19/2005 09/19/2005 09/16/2019 Current

HOUSTON, TX 77003

SUN CITY DIALYSIS CENTER008148 9153512010600 NEWMAN STREET 12/31/2021 12/17/2004 12/17/2004 12/17/2004 Current

EL PASO, TX 79902

SWEENY DIALYSIS CARE LLP110488 9792672146208 NORTH MCKINNEY STREET

SUITE 1

06/30/2022 06/27/2018 06/27/2018 06/27/2018 Current

SWEENY, TX 77480

SWISS AVENUE DIALYSIS CENTER000056 21482798542613 SWISS AVENUE 10/31/2021 09/01/1996 09/01/1996 06/17/1998 Current

DALLAS, TX 75204

T C JESTER DIALYSIS110030 71386304631800 WEST 26TH STREET SUITE 101 01/31/2022 01/26/2010 01/26/2010 10/22/2018 Current

HOUSTON, TX 77008

TANNER DIALYSIS110334 71368130435655 WEST SAM HOUSTON PKWY

SUITE A

09/30/2021 09/21/2015 09/21/2015 09/21/2015 Current

HOUSTON, TX 77041

TARRANT COUNTY CAMPUS

DIALYSIS

008263 81741303305000 CAMPUS DRIVE 08/31/2021 08/29/2005 08/29/2005 08/02/2019 Current

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

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LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

FORT WORTH, TX 76119

TAYLOR DIALYSIS110001 51235225493100 WEST 2ND STREET 04/30/2021 04/03/2009 04/03/2009 04/03/2009 Current

TAYLOR, TX 76574

TEMPLE KIDNEY CENTER007146 25474211622915 SAULSBURY 01/31/2021 01/20/2000 01/20/2000 01/21/2011 Current

TEMPLE, TX 76504

TEXARKANA REGIONAL DIALYSIS110387 90383297715502 MEDICAL PARKWAY DRIVE 08/31/2020 08/12/2016 08/12/2016 08/17/2016 Current

TEXARKANA, TX 75503-4623

TEXAS CHILDRENS HOSPITAL007796 83282608506621 FANNIN 10/31/2021 10/19/2001 10/19/2001 01/24/2002 Current

HOUSTON, TX 77030

TEXAS CITY PD110160 409935302613003 DELANEY STREET 10/31/2020 10/12/2012 10/12/2012 10/12/2012 Current

LA MARQUE, TX 77568

THE KIDNEY CARE CENTER110189 80677109061126 SLIDE ROAD SUITE 4B 05/31/2021 05/07/2013 05/07/2013 05/15/2013 Current

LUBBOCK, TX 79416

THE UNIVERSITY OF TEXAS

MEDICAL BRANCH AT GALVESTON

000143 4097476520301 UNIVERSITY BLVD 03/31/2022 09/01/1996 09/01/1996 03/27/2020 Current

GALVESTON, TX 77555

THE WOODLANDS DIALYSIS CENTER008577 28129267889301 PINECROFT DRIVE SUITE 130 10/31/2021 10/29/2007 10/29/2007 01/28/2011 Current

SHENANDOAH, TX 77380

TOMBALL DIALYSIS CENTER006094 281351680227720 A TOMBALL PARKWAY 08/31/2021 09/01/1997 09/01/1997 06/15/1998 Current

TOMBALL, TX 77375

TOWNGATE DIALYSIS CENTER000051 97227820141901 WEST NW HWY SUITE 210 10/31/2020 09/01/1996 09/01/1996 08/15/1997 Current

GARLAND, TX 75041

TRANSMOUNTAIN DIALYSIS110250 91575965325800 WOODROW BEAN 07/31/2022 07/11/2014 07/11/2014 07/13/2020 Current

EL PASO, TX 79924

TREASURE HILLS DIALYSIS110267 95636421201629 TREASURE HILLS BLVD SUITE

8

10/31/2020 10/09/2014 10/09/2014 10/09/2014 Current

HARLINGEN, TX 78550

TRINITY DIALYSIS CENTER000060 81733813021210 ALSTON AVENUE 02/28/2021 09/01/1996 09/01/1996 02/23/2011 Current

FORT WORTH, TX 76104

U.S. RENAL CARE BRYAN DIALYSIS110185 97988246131612 N. TEXAS AVENUE 03/31/2022 03/30/2012 03/30/2012 04/12/2018 Current

BRYAN, TX 77803

UNIVERSITY DIALYSIS SOUTH110010 21092156203750 COMMERCIAL SUITE 110 06/30/2021 06/11/2009 06/11/2009 06/11/2009 Current

SAN ANTONIO, TX 78221

UNIVERSITY DIALYSIS SOUTHEAST007304 21035857801407 FAIR AVENUE 05/31/2021 05/10/2001 05/10/2001 10/12/2001 Current

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

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LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

SAN ANTONIO, TX 78223

UNIVERSITY DIALYSIS WEST006650 2103587300701 SOUTH ZARZAMORA 09/30/2021 09/07/1998 09/07/1998 10/02/2019 Current

SAN ANTONIO, TX 78207

UNIVERSITY HEALTH SYSTEM

CHILDRENS KIDNEY CENTER

110234 21035807164502 MEDICAL DRIVE, MS# 84-1 01/31/2022 01/14/2014 01/14/2014 01/14/2014 Current

SAN ANTONIO, TX 78229

UPPER VALLEY DIALYSIS008479 91583205557933 NORTH MESA STREET SUITE H 03/31/2021 03/09/2007 03/09/2007 03/18/2019 Current

EL PASO, TX 79932

US RENAL CARE AMARILLO

DIALYSIS

008714 80633533101915 SOUTH COULTER STREET

SUITE 200

11/30/2020 11/03/2008 11/03/2008 02/14/2019 Current

AMARILLO, TX 79108

US RENAL CARE ATASCOSA COUNTY

DIALYSIS

008674 83056930521320 WEST OAKLAWN ROAD SUITE

G & H

07/31/2022 07/23/2008 07/23/2008 06/30/2020 Current

PLEASANTON, TX 78064-4304

US RENAL CARE BANDERA ROAD

DIALYSIS

110406 21068213007831 WESTCHASE STREET 12/31/2020 12/13/2016 12/13/2016 12/13/2016 Current

SAN ANTONIO, TX 78238

US RENAL CARE BEEVILLE DIALYSIS110452 3613588200100 WEST HUNTINGTON STREET 07/31/2021 08/01/2017 08/01/2017 09/27/2017 Current

BEEVILLE, TX 78102

US RENAL CARE BOERNE DIALYSIS008371 83081630301595 SOUTH MAIN SUITE 107 06/30/2022 06/13/2006 06/13/2006 06/05/2020 Current

BOERNE, TX 78006

US RENAL CARE CANTON DIALYSIS008728 9035672250400 EAST HWY 243 SUITE 14 11/30/2020 11/26/2008 11/26/2008 11/20/2018 Current

CANTON, TX 751032409

US RENAL CARE CENTRAL SAN

ANTONIO DIALYSIS

110438 2103383108215 N SAN SABA SUITE 101 07/31/2021 07/14/2017 07/14/2017 07/14/2017 Current

SAN ANTONIO, TX 78207

US RENAL CARE CHINATOWN

DIALYSIS

110399 71377321247329 WEST SAM HOUSTON

PARKWAY SOUTH SUITE 101A

11/30/2020 11/17/2016 11/17/2016 01/04/2019 Current

HOUSTON, TX 77072

US RENAL CARE CHINATOWN HOME

DIALYSIS

110398 71377328027329 WEST SAM HOUSTON

PARKWAY SOUTH SUITE 101B

11/30/2020 11/17/2016 11/17/2016 01/04/2019 Current

HOUSTON, TX 77072

US RENAL CARE CONWAY DIALYSIS110413 9564455365200 WEST 2 MILE ROAD 01/31/2021 01/23/2017 01/23/2017 01/23/2017 Current

MISSION, TX 78574

US RENAL CARE DELTA DIALYSIS008419 9562623400400 EAST EDINBURG BLVD 10/31/2020 10/20/2006 10/20/2006 10/26/2011 Current

ELSA, TX 78543

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Profession Roster Report

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LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

US RENAL CARE EAST EL PASO

DIALYSIS

006358 915590833410737 GATEWAY WEST SUITE 100 11/30/2021 12/01/1997 12/01/1997 10/09/2019 Current

EL PASO, TX 79935

US RENAL CARE EAST PLANO

DIALYSIS

110248 46927760412721 DOBIE DR 06/30/2022 06/06/2014 06/06/2014 06/06/2014 Current

PLANO, TX 75074-5390

US RENAL CARE EDINBURG DIALYSIS008539 9563838488206 CONQUEST 08/31/2021 08/06/2007 08/06/2007 01/07/2014 Current

EDINBURG, TX 78539

US RENAL CARE FRIENDSWOOD

DIALYSIS

008692 28199350673324 E FM 528 ROAD BAYWOOD

PLAZA

09/30/2020 09/02/2008 09/02/2008 09/02/2008 Current

FRIENDSWOOD, TX 775465012

US RENAL CARE GATEWAY DIALYSIS110279 2106739200230 KNOLLWOOD DRIVE 12/31/2020 12/05/2014 12/05/2014 12/05/2014 Current

SAN ANTONIO, TX 78227

US RENAL CARE HARLINGEN

DIALYSIS

008196 95636541034302 E SESAME DRIVE 04/30/2021 04/11/2005 04/11/2005 06/04/2019 Current

HARLINGEN, TX 78550

US RENAL CARE HILL COUNTRY

DIALYSIS

110538 210248111012011 STATE HIGHWAY 151 06/30/2021 06/20/2019 06/20/2019 06/20/2019 Current

SAN ANTONIO, TX 78251

US RENAL CARE HOME THERAPIES110497 71366827448515 FANNIN STREET 08/31/2022 08/28/2018 08/28/2018 08/28/2018 Current

HOUSTON, TX 77054

US RENAL CARE HOUSTON STREET

DIALYSIS

008134 21022500042011 EAST HOUSTON STREET SUITE

102D

11/30/2021 11/04/2004 11/04/2004 06/04/2019 Current

SAN ANTONIO, TX 78202

US RENAL CARE KIDNEY CENTER OF

LUBBOCK

008656 80677199333801 21ST STREET SUITE 100 05/31/2022 05/27/2008 05/27/2008 04/27/2020 Current

LUBBOCK, TX 79410

US RENAL CARE KINGWOOD

DIALYSIS

008603 281358556224006 HWY 59 NORTH 12/31/2021 12/18/2007 12/18/2007 01/08/2019 Current

KINGWOOD, TX 77339

US RENAL CARE LAREDO DIALYSIS008197 95672512026801 MCPHERSON ROAD SUITE 107 04/30/2021 04/11/2005 04/11/2005 03/25/2011 Current

LAREDO, TX 78041

US RENAL CARE LAREDO SOUTH

DIALYSIS

008497 95675321214602 BEN CHA ROAD 04/30/2021 04/05/2007 04/05/2007 08/12/2011 Current

LAREDO, TX 78043

US RENAL CARE LAS CANTERAS

DIALYSIS

110415 956231556010502 SANDIA DRIVE 01/31/2021 01/26/2017 01/26/2017 03/07/2019 Current

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Profession Roster Report

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LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

LAREDO, TX 78045

US RENAL CARE LIVE OAK DIALYSIS110554 210202302812970 TOEPPERWEIN ROAD SUITE

101

01/31/2022 01/14/2020 01/14/2020 01/23/2020 Current

LIVE OAK, TX 78233

US RENAL CARE MAVERICK COUNTY

DIALYSIS

110464 83077388783307 BOB ROGERS DRIVE 12/31/2021 12/13/2017 12/13/2017 12/13/2017 Current

EAGLE PASS, TX 78852

US RENAL CARE MCALLEN DIALYSIS008198 95666884841301 EAST RIDGE ROAD SUITE C 04/30/2021 04/11/2005 04/11/2005 02/08/2018 Current

MCALLEN, TX 78503

US RENAL CARE MEADOWS PLACE

DIALYSIS

110431 28196910224743 LEXINGTON BLVD 05/31/2021 05/22/2017 05/22/2017 05/22/2017 Current

MISSOURI CITY, TX 77459

US RENAL CARE MEDICAL CENTER

DIALYSIS

110323 21054102734511 NW LOOP 410 07/31/2021 07/17/2015 07/17/2015 07/17/2015 Current

SAN ANTONIO, TX 78229

US RENAL CARE MEDINA COUNTY

DIALYSIS

110314 8304263843205 22ND STREET 06/30/2021 06/12/2015 06/12/2015 06/16/2015 Current

HONDO, TX 78861

US RENAL CARE MID VALLEY

WESLACO DIALYSIS

008429 95696858061005 SOUTH AIRPORT DRIVE 11/30/2020 11/30/2006 11/30/2006 12/10/2018 Current

WESLACO, TX 78596

US RENAL CARE MISSION DIALYSIS110005 95658184891300 SOUTH BRYAN ROAD SUITE

107

05/31/2021 05/04/2009 05/04/2009 05/04/2009 Current

MISSION, TX 78572

US RENAL CARE NORTH DALLAS

DIALYSIS

110205 469518677210740 N CENTRAL EXPRESSWAY

SUITE 150

09/30/2021 09/13/2013 09/13/2013 09/13/2013 Current

DALLAS, TX 75231

US RENAL CARE NORTH DALLAS PD110204 469518677210740 N CENTRAL EXPRESSWAY

SUITE 190

09/30/2021 09/12/2013 09/12/2013 09/12/2013 Current

DALLAS, TX 75231

US RENAL CARE NORTH EL PASO

DIALYSIS

110357 91530458163359 FRED WILSON AVENUE 02/28/2022 02/29/2016 02/29/2016 02/29/2016 Current

EL PASO, TX 79904

US RENAL CARE NORTH LUBBOCK

DIALYSIS

110306 80674713661826 PARKWAY DRIVE SUITE 200 04/30/2021 04/27/2015 04/27/2015 12/23/2015 Current

LUBBOCK, TX 79403

US RENAL CARE OSO BAY DIALYSIS110320 36199410287502 SOUTH PADRE ISLAND DRIVE 03/31/2021 03/31/2015 03/31/2015 07/20/2016 Current

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Profession Roster Report

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LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

CORPUS CHRISTI, TX 78412

US RENAL CARE PLANO DIALYSIS110161 46920903554108 W 15TH STREET, SUITE 100 10/31/2020 10/17/2012 10/17/2012 10/17/2012 Current

PLANO, TX 75093

US RENAL CARE PLEASANTON ROAD

DIALYSIS

110377 21092262558119 SOUTH FLORES STREET 06/30/2022 06/21/2016 06/21/2016 06/21/2016 Current

SAN ANTONIO, TX 78221

US RENAL CARE PREMIER DIALYSIS110439 71342519698181 N STADIUM DRIVE SUITE 100 07/31/2021 07/19/2017 07/19/2017 07/19/2017 Current

HOUSTON, TX 77054

US RENAL CARE RICHARDSON

DIALYSIS

110338 97247994013321 E RENNER ROAD 10/31/2021 10/07/2015 10/07/2015 10/07/2015 Current

RICHARDSON, TX 75082

US RENAL CARE RIO GRANDE

DIALYSIS

008202 95648729292787 PHARMACY ROAD 04/30/2021 04/11/2005 04/11/2005 04/11/2005 Current

RIO GRANDE CITY, TX 78582

US RENAL CARE ROWLETT DIALYSIS110380 97241216317600 LAKEVIEW PARKWAY SUITE

200

07/31/2022 07/08/2016 07/08/2016 07/08/2016 Current

ROWLETT, TX 75088

US RENAL CARE ROYAL CENTRAL

DIALYSIS

110543 469862999111343 NORTH CENTRAL

EXPRESSWAY

07/31/2021 07/19/2019 07/19/2019 01/14/2020 Current

DALLAS, TX 75243

US RENAL CARE SAN ANTONIO

HOME THERAPIES

110437 2104441958215 NORTH SAN SABA SUITE 314 07/31/2021 07/14/2017 07/14/2017 07/14/2017 Current

SAN ANTONIO, TX 78207

US RENAL CARE SAN BENITO

DIALYSIS

110386 9563994037910 NORTH MCCULLOUGH STREET 08/31/2022 08/03/2016 08/03/2016 10/09/2018 Current

SAN BENITO, TX 78586-0084

US RENAL CARE SCHERTZ DIALYSIS008525 21065960705000 BAPTIST HEALTH DRIVE

SUITE 124-B

07/31/2021 07/09/2007 07/09/2007 08/23/2019 Current

SCHERTZ, TX 78154

US RENAL CARE SOUTH EL PASO

DIALYSIS

110092 915255434410651 NORTH LOOP DRIVE 08/31/2021 08/12/2011 08/12/2011 01/05/2012 Current

SOCORRO, TX 79927-4763

US RENAL CARE SOUTH SAN

ANTONIO DIALYSIS

110153 2109246733137 PALO ALTO ROAD 09/30/2020 09/17/2012 09/17/2012 09/18/2012 Current

SAN ANTONIO, TX 78211

US RENAL CARE SOUTHEAST SAN

ANTONIO DIALYSIS

110523 21020230222635 SE MILITARY DRIVE 02/28/2021 02/04/2019 02/04/2019 06/20/2019 Current

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

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LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

SAN ANTONIO, TX 78223

US RENAL CARE SPACE CITY

DIALYSIS LLC

110414 71342504283402 BURKE ROAD SUITE 100 01/31/2021 01/26/2017 01/26/2017 01/30/2017 Current

PASADENA, TX 77504

US RENAL CARE SUNNYVALE

DIALYSIS

110436 9722012767220 S COLLINS ROAD 07/31/2021 07/12/2017 07/12/2017 07/12/2017 Current

SUNNYVALE, TX 75182

US RENAL CARE TARRANT DIALYSIS

ARLINGTON

008463 8172757787203 WEST RANDOL MILL ROAD 02/28/2021 02/19/2007 02/19/2007 02/03/2011 Current

ARLINGTON, TX 76011

US RENAL CARE TARRANT DIALYSIS

AZLE

110026 8174064331605 NORTHWEST PARKWAY SUITE 1 11/30/2021 11/25/2009 11/25/2009 11/25/2014 Current

AZLE, TX 76020

US RENAL CARE TARRANT DIALYSIS

BRYANT IRVIN

110245 68222476355729 BRYANT IRVIN ROAD 05/31/2022 05/15/2014 05/15/2014 05/15/2014 Current

FORT WORTH, TX 76132

US RENAL CARE TARRANT DIALYSIS

BURLESON

110312 8174477478265 SE JOHN JONES DRIVE 06/30/2021 06/03/2015 06/03/2015 03/12/2019 Current

BURLESON, TX 76028

US RENAL CARE TARRANT DIALYSIS

CENTRAL FORT WORTH

008457 81753103264201 EAST BERRY STREET SUITE 8 02/28/2021 02/07/2007 02/07/2007 02/14/2011 Current

FORT WORTH, TX 76105

US RENAL CARE TARRANT DIALYSIS

CLEBURNE

110025 81764155301206 WEST HENDERSON SUITE C 11/30/2021 11/19/2009 11/19/2009 10/31/2019 Current

CLEBURNE, TX 76033

US RENAL CARE TARRANT DIALYSIS

EAST FORT WORTH

110078 81788830156450 BRENTWOOD STAIR ROAD 05/31/2021 05/16/2011 05/16/2011 06/30/2011 Current

FORT WORTH, TX 76112

US RENAL CARE TARRANT DIALYSIS

FORT WORTH

110099 8178775907501 COLLEGE AVENUE SUITE 100 10/31/2021 10/20/2011 10/20/2011 10/20/2011 Current

FORT WORTH, TX 76104

US RENAL CARE TARRANT DIALYSIS

GRAND PRAIRIE

008468 97226372021006 NORTH CARRIER PARKWAY 02/28/2021 02/19/2007 02/19/2007 01/17/2013 Current

GRAND PRAIRIE, TX 75050

US RENAL CARE TARRANT DIALYSIS

KELLER

110195 81799365164420 HERITAGE TRACE PARKWAY

SUITE 312

07/31/2021 07/10/2013 07/10/2013 07/10/2013 Current

FORT WORTH, TX 76244

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Profession Roster Report

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LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

US RENAL CARE TARRANT DIALYSIS

MANSFIELD

008464 68251801261800 HWY 157 NORTH SUITE 101 02/28/2021 02/19/2007 02/19/2007 04/10/2019 Current

MANSFIELD, TX 76063

US RENAL CARE TARRANT DIALYSIS

NORTH FORT WORTH

008454 81762478111978 EPHRIHAM AVENUE 02/28/2021 02/05/2007 02/05/2007 02/07/2011 Current

FORT WORTH, TX 76164

US RENAL CARE TARRANT DIALYSIS

NORTH RICHLAND HILLS

008430 81748587006455 HILLTOP DRIVE SUITE 112 12/31/2020 12/01/2006 12/01/2006 11/16/2012 Current

NORTH RICHLAND HILLS, TX 76180

US RENAL CARE TARRANT DIALYSIS

SOUTH FORT WORTH

110071 817293197812201 BEAR PLAZA 03/31/2021 03/30/2011 03/30/2011 03/30/2011 Current

BURLESON, TX 76028

US RENAL CARE TARRANT DIALYSIS

SOUTHWEST FORT WORTH

008443 81737078305127 OLD GRANBURY ROAD 01/31/2021 01/23/2007 01/23/2007 02/12/2019 Current

FORT WORTH, TX 76133

US RENAL CARE TARRANT DIALYSIS

TARRANT COUNTY

110100 8178771515PO BOX 251549 ATTN LEGAL DEPT 10/31/2021 10/20/2011 10/20/2011 10/22/2019 Current

PLANO, TX 75025

US RENAL CARE TARRANT DIALYSIS

WEATHERFORD

008567 8175942832504 SANTA FE DRIVE 10/31/2021 10/05/2007 10/05/2007 11/08/2019 Current

WEATHERFORD, TX 76086

US RENAL CARE TARRANT DIALYSIS

WEST FORK

110552 8173584544725 N INDUSTRIAL BLVD. SUITE 100 12/31/2021 12/20/2019 12/20/2019 12/20/2019 Current

BEDFORD, TX 76021

US RENAL CARE TARRANT DIALYSIS

WEST FORT WORTH

008649 81736708221704 SOUTH CHERRY LANE SUITE

200

04/30/2022 04/29/2008 04/29/2008 08/23/2019 Current

WHITE SETTLEMENT, TX 76108

US RENAL CARE TRI COUNTY

DIALYSIS

110422 830772578419910 INTERSTATE HIGHWAY 35 S

SUITE 101

04/30/2021 04/07/2017 04/07/2017 04/10/2017 Current

LYTLE, TX 78052

US RENAL CARE VALLEY MCALLEN

DIALYSIS

110003 95699433742000 SOUTH CYNTHIA STREET 04/30/2021 04/22/2009 04/22/2009 04/26/2018 Current

MCALLEN, TX 78503

US RENAL CARE WEBSTER DIALYSIS110362 71395193281914 CAROLINE STREET SUITE 100 04/30/2022 04/04/2016 04/04/2016 04/04/2016 Current

HOUSTON, TX 77002

US RENAL CARE WEST EL PASO

DIALYSIS

110125 21473627303100 NORTH STANTON STREET 09/30/2021 09/30/2011 03/07/2012 09/30/2011 Current

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

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LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

EL PASO, TX 79902

US RENAL CARE WEST UNIVERSITY110328 71334907249219 STELLA LINK 08/31/2021 08/07/2015 08/07/2015 08/07/2015 Current

HOUSTON, TX 77025

US RENAL CARE WESTOVER HILLS

DIALYSIS

110073 210521592311212 STATE HIGHWAY 151 PLAZA 2

SUITE 100

04/30/2021 04/18/2011 04/18/2011 04/18/2011 Current

SAN ANTONIO, TX 78251

UT SOUTHWESTERN - DALLAS

DIALYSIS

110061 9724387375204 E. AIRPORT FWY 12/31/2020 12/16/2010 12/16/2010 03/15/2019 Current

IRVING, TX 75062

UT SOUTHWESTERN OAKCLIFF

DIALYSIS

006271 2149417807610 WYNNEWOOD VILLAGE 01/31/2022 01/20/1998 01/20/1998 01/07/2020 Current

DALLAS, TX 75224

UVALDE KIDNEY DISEASE CLINIC000007 83027811261819 GARNER FIELD ROAD 01/31/2022 09/01/1996 09/01/1996 01/30/2012 Current

UVALDE, TX 78801

VALLEY BAPTIST - HARLINGEN

DIALYSIS

110068 95636427892220 HAINE DRIVE SUITE 40 01/31/2021 01/01/2011 03/15/2011 01/29/2013 Current

HARLINGEN, TX 78550

VALLEY BAPTIST - RAYMONDVILLE

DIALYSIS

110075 9566899084894 FM 3168 01/31/2021 01/01/2011 04/22/2011 04/25/2011 Current

RAYMONDVILLE, TX 78580

VALLEY RANCH DIALYSIS110546 281577000622118 MARKET PLACE DRIVE SUITE

100

09/30/2021 09/04/2019 09/04/2019 09/04/2019 Current

NEW CANEY, TX 77357

VICTORIA DIALYSIS CENTER000245 36157699071405 VICTORIA STATION DRIVE 12/31/2021 01/01/1997 01/01/1997 08/15/1997 Current

VICTORIA, TX 77901

VICTORY LAKES DIALYSIS110201 28133721753290 GULF FREEWAY S SUITE H 08/31/2021 08/28/2013 08/28/2013 08/28/2013 Current

DICKINSON, TX 77539-4542

VILLAGE DIALYSIS110118 28123231166952 INDUSTRIAL PARKWAY 02/28/2022 02/17/2012 02/17/2012 02/17/2012 Current

ROSENBERG, TX 77471

VILLAGE II DIALYSIS CENTER000064 21438886906300 SAMUELL BLVD SUITE 125 04/30/2021 09/01/1996 09/01/1996 04/25/2019 Current

DALLAS, TX 75228

VILLAGE OAKS KIDNEY DISEASE

CLINIC

110218 210655400511701 TOEPPERWEIN ROAD 11/30/2021 11/01/2013 11/20/2013 07/14/2020 Current

LIVE OAK, TX 78233

VINTAGE DIALYSIS110344 281251096620025 CHASEWOOD PARK DRIVE 12/31/2021 12/07/2015 12/07/2015 12/07/2015 Current

HOUSTON, TX 77070

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Profession Roster Report

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LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

VIVIFY DIALYSIS110375 4323321974800 NORTH TEXAS AVENUE 06/30/2022 06/08/2016 06/08/2016 06/17/2020 Current

ODESSA, TX 79761

WACO WEST KIDNEY CENTER007338 2547727719730 WEST HWY 6 07/31/2021 07/18/2001 07/18/2001 06/20/2019 Current

WACO, TX 76712

WALNUT HILL DIALYSIS CENTER008159 46923253339840 NORTH CENTRAL

EXPRESSWAY SUITE 340

01/31/2021 01/25/2005 01/25/2005 01/24/2011 Current

DALLAS, TX 75231

WATERLOO DIALYSIS CENTER110036 51242094035310 BURNET ROAD UNIT 122 03/31/2022 03/03/2010 03/03/2010 03/03/2010 Current

AUSTIN, TX 78756

WATSON WISE DIALYSIS - PARIS110243 9037392376633 STONE AVENUE 04/30/2022 04/23/2014 04/23/2014 04/23/2014 Current

PARIS, TX 75460

WATSON WISE DIALYSIS CENTER000078 9035952495815 EAST 1ST STREET 08/31/2021 09/01/1996 09/01/1996 07/22/2019 Current

TYLER, TX 75701

WEIMAR DIALYSIS110565 9799853700407 E SOUTH ST. 01/31/2022 02/01/2020 05/14/2020 02/01/2020 Current

WEIMAR, TX 78962

WELLBOUND OF AUSTIN110006 512833669512176 NORTH MOPAC EXPRESSWAY

SUITE A

05/31/2021 05/04/2009 05/04/2009 06/26/2019 Current

AUSTIN, TX 78758

WESLACO DIALYSIS FACILITY000029 95697319701614 EAST COMMERCIAL DRIVE 06/30/2022 09/01/1996 09/01/1996 06/11/2020 Current

WESLACO, TX 78599

WESLACO RENAL CENTER008345 9569681895910 SOUTH UTAH AVENUE 04/30/2022 04/14/2006 04/14/2006 12/14/2011 Current

WESLACO, TX 78596

WEST ARLINGTON DIALYSIS110364 81746674031001 W ARBROOK BLVD STE 101 &

111

04/30/2022 04/14/2016 04/14/2016 04/14/2016 Current

ARLINGTON, TX 76015

WEST BELLFORT DIALYSIS110191 832595018721026 W BELLFORT STREET 05/31/2021 05/20/2013 05/20/2013 05/20/2013 Current

RICHMOND, TX 77406

WEST HOUSTON DIALYSIS CENTER000146 71393263249623 LONG POINT ROAD 04/30/2021 09/01/1996 09/01/1996 01/13/2020 Inactive

HOUSTON, TX 77055

WEST HOUSTON HOME DIALYSIS110283 71346500051319 WEST SAM HOUSTON

PARKWAY N SUITE 130

12/31/2020 12/19/2014 12/19/2014 12/19/2014 Current

HOUSTON, TX 77043

WEST OAK DIALYSIS110052 281752546914800 WESTHEIMER ROAD SUITE A 10/31/2020 10/04/2010 10/04/2010 10/04/2010 Current

HOUSTON, TX 77082

WEST PARK DIALYSIS110479 71366000735920 RENWICK DRIVE SUITE A 04/30/2022 04/18/2018 04/18/2018 04/18/2018 Current

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License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

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LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

HOUSTON, TX 77081

WEST PLANO DIALYSIS110082 97260810895036 TENNYSON PKWY 04/30/2021 04/01/2011 06/06/2011 07/20/2011 Current

PLANO, TX 75024

WEST POINT DIALYSIS110104 281920489212051 WESTPARK DRIVE SUITE 100 11/30/2021 11/15/2011 11/15/2011 10/24/2019 Current

HOUSTON, TX 77082

WEST TEXAS DIALYSIS110086 91588102545595 ALAMEDA AVENUE SUITE B 06/30/2021 06/23/2011 06/23/2011 12/14/2015 Current

EL PASO, TX 79905

WEST TEXAS DIALYSIS CENTER007794 4322672903501 BIRDWELL LANE SUITE 10 10/31/2021 01/12/2010 10/05/2001 05/09/2002 Current

BIG SPRING, TX 79720

WEST TYLER DIALYSIS CENTER006611 90352642863600 WEST ERWIN 08/31/2020 08/07/1998 08/07/1998 01/30/2018 Current

TYLER, TX 75702

WESTOVER DIALYSIS110122 21068191809846 WESTOVER HILLS BLVD SUITE

103

02/28/2022 02/22/2012 02/22/2012 03/02/2012 Current

SAN ANTONIO, TX 78251

WHARTON DIALYSIS110265 9792828484103 WEST AHLDAG STREET 08/31/2020 08/01/2014 08/01/2014 08/01/2014 Current

WHARTON, TX 77488

WHARTON DIALYSIS CARE LLP110281 9795320012205 NORTH ALABAMA ROAD 12/31/2020 12/16/2014 12/16/2014 12/03/2015 Current

WHARTON, TX 77488

WICHITA FALLS KIDNEY DIALYSIS110499 94038696111104 HOLLIDAY STREET 09/30/2020 09/05/2018 09/05/2018 09/05/2018 Current

WICHITA FALLS, TX 76301

WILBARGER GENERAL HOSPITAL

DIALYSIS OF VERNON

007903 94055329601000 GARLAND JOHNSTON DRIVE 12/31/2021 12/19/2002 12/19/2002 06/11/2003 Current

VERNON, TX 76384

WILLOWBROOK DIALYSIS008286 281890728812120 JONES ROAD SUITE G 10/31/2021 10/14/2005 10/14/2005 04/10/2017 Current

HOUSTON, TX 77070

WISE HEALTH SYSTEM008681 94062617002150 SOUTH FM 51 08/31/2022 08/14/2008 08/14/2008 06/01/2015 Current

DECATUR, TX 76234

WOODFOREST DIALYSIS110225 713455337012626 WOODFOREST BLVD SUITE C 04/30/2021 04/01/2013 12/05/2013 01/29/2018 Current

HOUSTON, TX 77015

WOODLANDS HOME THERAPIES110289 28136700461644 RESEARCH FOREST DRIVE

SUITE 150

01/31/2021 01/07/2015 01/07/2015 01/07/2015 Current

SHENANDOAH, TX 77381

WOODVILLE DIALYSIS CENTER008485 4093311500712 WEST BLUFF STREET 03/31/2021 03/15/2007 03/15/2007 02/24/2011 Current

WOODVILLE, TX 75979

WYLIE DIALYSIS110126 9724294315941 S. WESTGATE WAY 03/31/2022 03/12/2012 03/12/2012 03/14/2012 Current

Page 53 of 547/29/2020

Page 54: Profession Roster Report · 2020-05-18 · Profession Roster Report Order By Name End Stage Renal Disease Facility LIC ... 110095 AMARILLO DIALYSIS 8604 S COULTER STREET 8063580051

License Type Code: 6811 - Rank Code: ALL - Status Code(s): 20,40,45 - Mdf: ALL

Profession Roster Report

Order By Name

End Stage Renal Disease Facility

LIC# Selected Address(MA) Phone Status/Secondary StatusExpires Rank Date Status DateOrig. DateName

WYLIE, TX 75098

ZAPATA FALCON LAKE DIALYSIS110427 95676593662860 SOUTH US HIGHWAY 83 05/31/2021 05/08/2017 05/08/2017 05/08/2017 Current

ZAPATA, TX 78076

TOTAL - 769

Page 54 of 547/29/2020