BANNACK DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Houston, TX. BANNACK DIALYSIS LLC NPI is 1154775534. The provider is registered as an organization entity type.
The provider Is Doing Business As Dairy Ashford Dialysis.
The provider's business location address is:
12606 WESTPARK DR
HOUSTON, TX
ZIP 77082-526
Phone: (281) 679-1848
Fax: (281) 496-2093
The provider's authorized official is Samuel Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.
The CLIA number assigned to this NPI record is 45D2119177 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/21/2016 and was last updated on 12/6/2023.