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NPI Code Detail

MEDICARE: GREATER HOUSTON NEPHROLOGY NETWORK

MEDICARE: GREATER HOUSTON NEPHROLOGY NETWORK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician

General Provider Information

NPI Number : 1811195274
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREATER HOUSTON NEPHROLOGY NETWORK
Provider Business Mailing Address
First Line : 8876 GULF FWY
Second Line : SUITE 215
City : HOUSTON
State : TX
Zip : 77017-6513
Country : US
Telephone Number : 713-947-9509
Fax Number : 713-947-0609
Provider Business Practice Location Address
First Line : 8876 GULF FWY
Second Line : SUITE 215
City : HOUSTON
State : TX
Zip : 77017-6513
Country : US
Telephone Number : 713-947-9509
Fax Number : 713-947-0609
Authorized Official
Title or Position : ADMINISTRATOR
Name : WADE MAUGANS
Credential :
Telephone Number : 713-947-9509
Provider Enumeration Date : 07/06/2007
Last Update Date : 08/22/2020

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Directions to “GREATER HOUSTON NEPHROLOGY NETWORK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.