Organization
FREEDOM DIALYSIS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANAF ALROUMOH MD (CEO)
(212) 300-3484
Entity
Organization
Contact information
Practice address
7746 HIGHWAY 6 STE C, MISSOURI CITY, TX 77459-4778
(212) 300-3484
Mailing address
7746 HIGHWAY 6 STE C, MISSOURI CITY, TX 77459-4778
(212) 300-3484
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
—
3975757-01
—
TX
01
—
67-2898
MEDICARE
TX
Enumeration date
07/13/2016
Last updated
05/31/2023
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