Organization
LONE STAR HOME DIALYSIS, INC.
Active
Organization
LONE STAR HOME DIALYSIS, INC.
Active
Other names
Lone Star Home Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
BALBEER K GODWIN R.N (CEO, CFO)
(281) 799-7089
Entity
Organization
Contact information
Practice address
16903 RED OAK DR STE 100B, HOUSTON, TX 77090-3917
(362) 719-4429
(800) 395-8956
Mailing address
16903 RED OAK DR STE 100B, HOUSTON, TX 77090-3917
(936) 271-9442
(800) 395-8956
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
TX
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
607378362
BCBS
TX
Enumeration date
07/12/2016
Last updated
05/26/2021
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