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Organization

INNOVATIVE RENAL CARE - WEBSTER, INC.

Active
Other names
Innovative Renal Care
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JANET DANIELS RN, CNN (ADMINISTRATOR)
(713) 571-6674
Entity
Organization

Contact information

Practice address
1700 WEBSTER ST, HOUSTON, TX 77003-5827
(713) 571-6674
(713) 571-6683
Mailing address
PO BOX 1501, HOUSTON, TX 77251-1501
(713) 571-6674
(713) 571-6683

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
007335
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1465759-01
TX
05
1465759-02
TX
Enumeration date
09/26/2006
Last updated
06/03/2010
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