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NPI Code Detail

MEDICARE: RENAL TOUCH LLC

MEDICARE: RENAL TOUCH LLC
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
1251E00000XHome Health Agency660178TX

General Provider Information

NPI Number : 1811231442
Entity Type Code : Organization
Provider Name (Legal Business Name) : RENAL TOUCH LLC
Provider Business Mailing Address
First Line : PO BOX 90005
Second Line :
City : HOUSTON
State : TX
Zip : 77290-0005
Country : US
Telephone Number : 832-331-1099
Fax Number : 832-550-2035
Provider Business Practice Location Address
First Line : 1400 N SAM HOUSTON PKWY E
Second Line : #155
City : HOUSTON
State : TX
Zip : 77032-2966
Country : US
Telephone Number : 832-331-1099
Fax Number : 832-550-2035
Authorized Official
Title or Position : CEO
Name : MR. MARCUS ELLIOTT PHILLIPS
Credential : RN
Telephone Number : 832-331-1099
Provider Enumeration Date : 11/20/2012
Last Update Date : 11/20/2012

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Directions to “RENAL TOUCH LLC ” Practice Location

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