Organization
RENAL SPECIALISTS OF HOUSTON, PA
Active
Parent organization
RENAL SPECIALISTS OF HOUSTON
Organization subpart
Yes
Provider details
NPI number
Legal business name
RENAL SPECIALISTS OF HOUSTON
Authorized official
JULIA A TICE (BUSINESS MANAGER)
(713) 947-9509
Entity
Organization
Contact information
Practice address
11665 FUQUA ST STE C301, HOUSTON, TX 77034-4632
(713) 947-9509
Mailing address
11665 FUQUA ST STE C301, HOUSTON, TX 77034-4632
(713) 947-9509
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09366841
—
TX
Enumeration date
08/21/2006
Last updated
07/21/2022
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