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NPI Code Detail

MEDICARE: HOUSTON DIALYSIS INC.

MEDICARE: HOUSTON DIALYSIS INC.
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
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1073705505
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOUSTON DIALYSIS INC.
Provider Business Mailing Address
First Line : 8800 BISSONNET ST
Second Line : SUITE A
City : HOUSTON
State : TX
Zip : 77074-2435
Country : US
Telephone Number : 713-773-1717
Fax Number : 713-773-1716
Provider Business Practice Location Address
First Line : 8800 BISSONNET ST
Second Line : SUITE A
City : HOUSTON
State : TX
Zip : 77074-2435
Country : US
Telephone Number : 713-773-1717
Fax Number : 713-773-1716
Authorized Official
Title or Position : PRESIDENT
Name : MR. WISAM ELHAJ
Credential :
Telephone Number : 713-773-1717
Provider Enumeration Date : 08/17/2007
Last Update Date : 07/23/2008

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Directions to “HOUSTON DIALYSIS INC. ” Practice Location

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