Organization
GULFGATE KIDNEY CENTER, LLC
Active
Organization
GULFGATE KIDNEY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SMITH (DIRECTOR, CONTRACTS & HR)
(610) 495-8900
Entity
Organization
Contact information
Practice address
2916 WOODRIDGE DR, HOUSTON, TX 77087
(610) 495-8900
Mailing address
211 COMMERCE CT, SUITE 104, POTTSTOWN, PA 19464-3483
(610) 495-8900
(610) 495-8562
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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