Organization
FREEDOM DIALYSIS ONE INC
Active
Other names
Freedom Dialysis One INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANAF ALROUMOH MD (CEO)
(212) 300-3484
Entity
Organization
Contact information
Practice address
7746 HIGHWAY 6 STE C, MISSOURI CITY, TX 77459-4780
(212) 300-3484
Mailing address
7746 HIGHWAY 6 STE C, MISSOURI CITY, TX 77459-4780
(212) 300-3484
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548350614
—
TX
Enumeration date
10/27/2020
Last updated
10/27/2020
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