DVA RENAL HEALTHCARE INC NPI 1699738377

NPI Information

NPI: 1699738377
Provider Name: DVA RENAL HEALTHCARE INC

Doing Business As: NORTH LOOP EAST DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
7139 NORTH LOOP E
HOUSTON, TX
ZIP 77028
Phone: (713) 675-8499
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DVA RENAL HEALTHCARE INC is an end-stage renal disease (esrd) treatment clinic center in Houston, TX. DVA RENAL HEALTHCARE INC NPI is 1699738377. The provider is registered as an organization entity type.
The provider Is Doing Business As North Loop East Dialysis.

The provider's business location address is:

7139 NORTH LOOP E
HOUSTON, TX
ZIP 77028-903
Phone: (713) 675-8499
Fax: (713) 675-3510

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 45D0899402 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2006 and was last updated on 7/13/2022.

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	007314	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	087888601	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: 5/5/2024

NPI Synchronization or Removal

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