FORTBEND DIALYSIS RENAL INC. NPI 1720435662

NPI Information

NPI: 1720435662
Provider Name: FORTBEND DIALYSIS RENAL INC.
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 45D0895847

Address:
12220 MURPHY RD STE R
STAFFORD, TX
ZIP 77477
Phone: (281) 568-9911
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FORTBEND DIALYSIS RENAL INC. is an end-stage renal disease (esrd) treatment clinic center in Stafford, TX. FORTBEND DIALYSIS RENAL INC. NPI is 1720435662. The provider is registered as an organization entity type.

The provider's business location address is:

12220 MURPHY RD STE R
STAFFORD, TX
ZIP 77477-410
Phone: (281) 568-9911
Fax: (281) 568-0093

The provider's authorized official is Joseph Voukep .
The authorized official title is Administrator and has the following contact phone number (240) 246-4306.

The CLIA number assigned to this NPI record is 45D0895847 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/20/2016 and was last updated on 1/22/2018.

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	110390	TEXAS	Yes

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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