Healthcare Provider Details

I. General information

NPI: 1184718173
Provider Name (Legal Business Name): RENAL SOLUTIONS DIALYSIS SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2756 WEST T C JESTER BLVD
HOUSTON TX
77018
US

IV. Provider business mailing address

2756 WEST T C JESTER BLVD
HOUSTON TX
77018
US

V. Phone/Fax

Practice location:
  • Phone: 713-680-9056
  • Fax: 713-680-9310
Mailing address:
  • Phone: 713-680-9056
  • Fax: 713-680-9310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2472R0900X
TaxonomyRenal Dialysis Technician
License Number007993
License Number StateTX

VIII. Authorized Official

Name: MS. MARIE DE GUZMEN
Title or Position: MEDICAL DIRECTOR OWNER
Credential: RM
Phone: 713-680-9056