Organization
QUALITY DIALYSIS ONE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA HEMENEZ RN (ADMINISTRATOR)
(281) 491-4009
Entity
Organization
Contact information
Practice address
13311 PIKE RD STE E, STAFFORD, TX 77477-5111
(281) 491-4009
(866) 557-4844
Mailing address
13311 PIKE RD, STAFFORD, TX 77477-5111
(281) 491-4009
(866) 557-4844
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
005985
TX
251F00000X
Home Infusion Agency
Primary
005985
TX
253Z00000X
In Home Supportive Care Agency
005985
TX
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
005985
TX
332BD1200X
Dialysis Equipment & Supplies (DME)
1001352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005985
TEXAS DEPARTMENT OF AGING AND DISABILITY SERVICES HOME & SUPPORT SRVC AGENCY
TX
01
—
019455
DMEPOS ACCREDIDIATION CERTIFICATION
TX
05
—
0241291-01
—
TX
01
—
1001352
TEXAS DEPARTMENT OF STATE HEALTH SERVICES-DEVICE DISTRIBUTOR
TX
Enumeration date
06/16/2005
Last updated
06/16/2018
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