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Organization

TANGLEWILDE DIALYSIS CENTER, LLC

Active
Other names
Tanglewilde Dialysis Center
Organization subpart
No

Provider details

NPI number
Authorized official
MARGARET MODUPE ARISE RN (CEO/ MANAGING MEMBER)
(832) 605-3943
Entity
Organization

Contact information

Practice address
2620 TANGLEWILDE ST STE 110, HOUSTON, TX 77063-3203
(832) 605-3943
(713) 588-8863
Mailing address
2620 TANGLEWILDE ST STE 110, HOUSTON, TX 77063-3203
(832) 605-3943
(713) 588-8863

Taxonomy

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

Other

Enumeration date
02/20/2020
Last updated
02/20/2020
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