MEMORIAL DIALYSIS CENTER LP NPI 1720041460

NPI Information

  • NPI: 1720041460
  • Provider Name: MEMORIAL DIALYSIS CENTER LP
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: MEMORIAL DIALYSIS CENTER
  • Address: 11621 KATY FWY
    HOUSTON, TX
    ZIP 77079
  • Phone: (281) 558-5702

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NPI Details

MEMORIAL DIALYSIS CENTER LP is an end-stage renal disease (esrd) treatment clinic center in Houston, TX. MEMORIAL DIALYSIS CENTER LP NPI is 1720041460. The provider is registered as an organization entity type.
The provider Is Doing Business As Memorial Dialysis Center.

The provider's business location address is:

11621 KATY FWY
HOUSTON, TX
ZIP 77079-801
Phone: (281) 558-5702
Fax: (281) 597-8377

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp Licensure&certification and has the following contact phone number (615) 341-6641.

The enumeration date for this NPI number is 4/11/2006 and was last updated on 11/6/2024.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment008214TEXASYes

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
1094305201MEDICAIDTEXAS

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: 3/30/2025

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