Dva Renal Healthcare Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

007310 Issued in TX

Legal business name

DVA RENAL HEALTHCARE INC

Doing business as

Huntsville Dialysis

Practice address

521 Ih 45 S Ste 20
Huntsville, TX 77340-5651

Phone

(936) 295-5500

Fax

(936) 295-5889

NPI assigned

Apr 11, 2006

Last updated

Nov 26, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel T Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Huntsville Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Gambro Healthcare Escon173 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 6

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Dva Renal Healthcare Inc

  dba Brenham Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brenham, TX
  • NPI 1003879180
  NPD tax ID
• Dva Renal Healthcare Inc

  dba Katy Cinco Ranch Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Katy, TX
  • NPI 1043273816
  NPD tax ID
• Dva Renal Healthcare Inc

  dba Briarcrest Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bryan, TX
  • NPI 1306809454
  NPD tax ID
• Dva Renal Healthcare Inc

  dba Island Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Galveston, TX
  • NPI 1497718340
  NPD tax ID
• Dva Renal Healthcare Inc

  dba Mainland Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • La Marque, TX
  • NPI 1851354682
  NPD tax ID
• Dva Renal Healthcare Inc

  dba Rock Prairie Road Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • College Station, TX
  • NPI 1962466649
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1851354666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 IH 45 S STE 20",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773405651",
            "telephone_number": "936-295-5500",
            "fax_number": "936-295-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DVA RENAL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP LICENSURE & CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "007310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094284901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntsville Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Huntsville Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dungarvin Texas, LLC (Huntsville Community Residence)
• Darnel Michael Durand, M.D.
• John Durden, D.O., FACEP
• Katherine Orloff Durham, LCSW
• Morgan Brooke Duty
• Dznst, PC
• Vanessa Shane Eckenrode, LCSW
• Lawrence E Ede, DO
• Tameka Edison
• Sara Beth Ellisor, FNP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Huntsville, TX
• Providers in Huntsville, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.