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Organization

WEST PARK DIALYSIS CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PRAVIN B PATEL (PRESIDENT)
(713) 917-0454
Entity
Organization

Contact information

Practice address
6400 SOUTHWEST FWY, SUITE G, HOUSTON, TX 77074-2213
(713) 977-7877
(713) 977-7837
Mailing address
7001 CORPORATE DR, STE. 227, HOUSTON, TX 77036-5192
(713) 917-0454
(713) 917-0909

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
210085101
TX
Enumeration date
10/03/2006
Last updated
05/11/2010
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