SNG - NORTHWEST DIALYSIS CENTER LP NPI 1750642385

NPI Information

NPI: 1750642385
Provider Name: SNG - NORTHWEST DIALYSIS CENTER LP
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
7112 STUEBNER AIRLINE RD
HOUSTON, TX
ZIP 77091
Phone: (713) 490-7382
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SNG - NORTHWEST DIALYSIS CENTER LP is an end-stage renal disease (esrd) treatment clinic center in Houston, TX. SNG - NORTHWEST DIALYSIS CENTER LP NPI is 1750642385. The provider is registered as an organization entity type.

The provider's business location address is:

7112 STUEBNER AIRLINE RD
HOUSTON, TX
ZIP 77091-408
Phone: (713) 490-7382
Fax: (713) 490-7389

The provider's authorized official is Kinam C. Martin .
The authorized official title is Chief Operations Officer and has the following contact phone number (817) 725-7900.

The enumeration date for this NPI number is 5/30/2012 and was last updated on 7/21/2022.

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			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	110134	OTHER	TEXAS	FACILITY LICENSE
2	333659601	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

NPI Synchronization or Removal

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