INNOVATIVE RENAL CARE - WEBSTER INC. NPI 1548361074

NPI Information

NPI: 1548361074
Provider Name: INNOVATIVE RENAL CARE - WEBSTER, INC.

Other Name: INNOVATIVE RENAL CARE

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1700 WEBSTER ST
HOUSTON, TX
ZIP 77003
Phone: (713) 571-6674
Get Directions

INNOVATIVE RENAL CARE - WEBSTER, INC. is an end-stage renal disease (esrd) treatment clinic center in Houston, TX. INNOVATIVE RENAL CARE - WEBSTER, INC. NPI is 1548361074. The provider is registered as an organization entity type.
The provider Other Name Is Innovative Renal Care.

The provider's business location address is:

1700 WEBSTER ST
HOUSTON, TX
ZIP 77003-827
Phone: (713) 571-6674
Fax: (713) 571-6683

The provider's authorized official is Janet Daniels .
The authorized official title is Administrator and has the following contact phone number (713) 571-6674.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 6/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	007335	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	452834	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	MEDICARE BILLING NUMBER
2	1465759-01	MEDICAID	TEXAS
3	1465759-02	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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