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Organization

CROWN DIALYSIS CLINIC, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDER ABE (CEO)
(713) 301-2609
Entity
Organization

Contact information

Practice address
12626 WOODFOREST BLVD # C, HOUSTON, TX 77015-3425
(713) 301-2609
(713) 455-3387
Mailing address
12626 WOODFOREST BLVD # C, HOUSTON, TX 77015-3425
(713) 301-2609
(713) 455-3387

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Enumeration date
07/09/2008
Last updated
01/14/2010
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