Organization
DIAMOND DIALYSIS - STAFFORD TEXAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY WILSON (CFO)
(281) 785-8242
Entity
Organization
Contact information
Practice address
3623 SOUTH MAIN STREET, SUITE 100, STAFFORD, TX 77477
(832) 987-1793
(832) 987-1873
Mailing address
3623 SOUTH MAIN STREET, SUITE #100, STAFFORD, TX 77477
(832) 987-1793
(832) 987-1873
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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