Organization
RENAL CARE CONSULTANT, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WASEEM PERACHA MD (OWNER PRESIDENT)
(281) 558-8260
Entity
Organization
Contact information
Practice address
12051 WEST PARK DR, SUITE 200, HOUSTON, TX 77082-5556
(281) 558-8260
(281) 531-8087
Mailing address
11152 WESTHEIMER ROAD, # 702, HOUSTON, TX 77042-3208
(281) 558-8260
(281) 531-8087
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L0902
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10011273
AMERIGROUP
TX
05
—
159588601
—
TX
01
—
390343
WELLCARE
TX
01
—
5000634
CIGNA
TX
01
—
5622189
AETNA
TX
01
—
86872Z
BCBS HMO
TX
01
—
8H8370
BLUE CROSS BLUE SHEILD
TX
01
—
MDL0902
WORKERS COMP
TX
01
—
P00028850
RAILROAD MEDICARE
TX
Enumeration date
04/16/2007
Last updated
03/26/2014
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