Organization
NORTHWEST DIALYIS CENTER,LLC
Active
Organization
NORTHWEST DIALYIS CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUNNY KOTAK CEO (PRESIDENT)
(713) 490-7382
Entity
Organization
Contact information
Practice address
7112 STUEBNER AIRLINE RD, HOUSTON, TX 77091-2408
(713) 490-7382
(713) 490-7389
Mailing address
7112 STUEBNER AIRLINE RD, HOUSTON, TX 77091-2408
(713) 490-7382
(713) 490-7389
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
110031
TX
Other
Enumeration date
03/11/2010
Last updated
09/23/2010
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