Organization
TANGLEWILDE DIALYSIS CENTER, LLC
Active
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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