Organization
ELIK DIALYSIS HOMETHERAPY - MEMORIAL, INC
Active
Organization
ELIK DIALYSIS HOMETHERAPY - MEMORIAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BALBEER K GODWIN REGISTERED NURSE (PRESIDENT/CEO)
(281) 799-7089
Entity
Organization
Contact information
Practice address
1445 NORTH LOOP W, SUITE 720, HOUSTON, TX 77008-1661
(713) 861-7500
(713) 861-7502
Mailing address
1445 NORTH LOOP WEST, SUITE 720, HOUSTON, TX 77008-1861
(713) 861-7500
(713) 861-7502
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
012755
TX
Other
Enumeration date
01/23/2008
Last updated
10/02/2009
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