Organization
QUALITY DIALYSIS TWO LP
Active
Organization
QUALITY DIALYSIS TWO LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA HEMENEZ RN (ADMINISTRATOR)
(281) 491-4009
Entity
Organization
Contact information
Practice address
13311 PIKE RD, STAFFORD, TX 77477-5111
(281) 491-4009
(866) 557-4844
Mailing address
13311 PIKE RD, STAFFORD, TX 77477-5111
(281) 491-4009
(866) 557-4844
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
007039
TX
261QH0100X
Health Service Clinic/Center
—
TX
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007039
TEXAS DEPARTMENT OF STATE HEALTH SERVICES REGULATORY UNIT-ESRD FACILITY
TX
01
—
019456
DMEPOS ACCREDIDIATION CERTIFICATION
TX
05
—
094322701
—
TX
Enumeration date
08/03/2005
Last updated
06/16/2018
Update your record
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