Healthcare Provider Details

I. General information

NPI: 1467513051
Provider Name (Legal Business Name): RENAL SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 03/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2756 W T C JESTER BLVD
HOUSTON TX
77018-7003
US

IV. Provider business mailing address

2756 W T C JESTER BLVD
HOUSTON TX
77018-7003
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 Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number007993
License Number StateTX

VIII. Authorized Official

Name: MS. MARIE DEGUZMAN
Title or Position: ADMINISTRATOR
Credential: R.N.
Phone: 713-680-9056