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Organization

RENALSPA DIALYSIS LLC

Active
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Organization

RENALSPA DIALYSIS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHONTA WILLIAMS (COO)
(346) 388-0656
Entity
Organization

Contact information

Practice address
7737 BEECHNUT ST STE 101, HOUSTON, TX 77074-3109
(346) 388-0656
(713) 861-7502
Mailing address
7737 BEECHNUT ST STE 101, HOUSTON, TX 77074-3109
(713) 861-7500
(713) 861-7502

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—

Other

Enumeration date
03/28/2023
Last updated
07/10/2023
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