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Organization
REBERTH DIALYSIS LLC
Active
Organization
REBERTH DIALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYON HADLEY (CEO)
(713) 261-0441
Entity
Organization
Contact information
Practice address
18207 N ELDRIDGE PKWY UNIT A5, TOMBALL, TX 77377-8169
(713) 261-0441
(210) 830-9385
Mailing address
18207 N ELDRIDGE PKWY UNIT A5, TOMBALL, TX 77377-8169
(713) 261-0441
(210) 830-9385
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
Other
Enumeration date
05/06/2024
Last updated
04/01/2025
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