Provider Type Icon

HOUSTON KIDNEY CENTER - TOTAL RENAL CARE INTEGRATED SERVICE NETWORK LP NPI 1871556662


NPI Information

NPI: 1871556662
Provider Name: HOUSTON KIDNEY CENTER - TOTAL RENAL CARE INTEGRATED SERVICE NETWORK LP

Doing Business As: HOUSTON KIDNEY CENTER CYPRESS STATION

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 45D0947007

Address:
72 CYPRESS CREEK PKWY
HOUSTON, TX
ZIP 77090
Phone: (281) 580-6157
Get Directions

HOUSTON KIDNEY CENTER - TOTAL RENAL CARE INTEGRATED SERVICE NETWORK LP is an end-stage renal disease (esrd) treatment clinic center in Houston, TX. HOUSTON KIDNEY CENTER - TOTAL RENAL CARE INTEGRATED SERVICE NETWORK LP NPI is 1871556662. The provider is registered as an organization entity type.
The provider Is Doing Business As Houston Kidney Center Cypress Station.

The provider's business location address is:

72 CYPRESS CREEK PKWY
HOUSTON, TX
ZIP 77090-531
Phone: (281) 580-6157
Fax: (281) 580-6850

The provider's authorized official is John D 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 45D0947007 - 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 4/21/2022.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment110175TEXASYes

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
1094317701MEDICAIDTEXAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.