Organization
SOHUM - SOUTHEAST HOUSTON DIALYSIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BHUPENDRA KOTAK (PRESIDENT)
(713) 490-7382
Entity
Organization
Contact information
Practice address
7647 SOUTH FWY, HOUSTON, TX 77021-5934
(713) 842-1010
(713) 842-1011
Mailing address
7647 SOUTH FWY, HOUSTON, TX 77021-5934
(713) 842-1010
(713) 842-1011
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2010
Last updated
11/04/2010
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