Organization
BEACON DIALYSIS LLC
Active
Other names
Sugar Land Home Training
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
1447 HIGHWAY 6 STE 130, SUGAR LAND, TX 77478-5094
(281) 277-0692
(281) 565-0923
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4224
(800) 293-4707
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3120354-01
—
TX
Enumeration date
12/14/2010
Last updated
01/19/2023
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