Organization
SATELLITE WELLBOUND OF HOUSTON LLC
Active
Parent organization
WELLBOUND LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLBOUND LLC
Authorized official
SUSAN L DEL BENE (SECRETARY/CFO)
(650) 404-3618
Entity
Organization
Contact information
Practice address
7505 MAIN ST, SUITE 120, HOUSTON, TX 77030-4520
(713) 799-9344
(713) 795-0574
Mailing address
300 SANTANA ROW, SUITE 300, SAN JOSE, CA 95128-2423
(650) 404-3655
(650) 625-6007
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2158339-01
—
TX
01
—
8556
STATE OF TEXAS
TX
Enumeration date
02/15/2007
Last updated
12/30/2016
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