Organization
DENOVA NEPHROLOGY MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SMITH (MANAGER)
(281) 850-8181
Entity
Organization
Contact information
Practice address
400 W OAK ST, HIGHLANDS, TX 77562-2850
(281) 850-8181
Mailing address
PO BOX 5032, KINGWOOD, TX 77325-5032
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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