Organization
FORTBEND DIALYSIS RENAL INC.
Active
Organization
FORTBEND DIALYSIS RENAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH VOUKEP (ADMINISTRATOR)
(240) 246-4306
Entity
Organization
Contact information
Practice address
12220 MURPHY RD STE R, STAFFORD, TX 77477-2410
(281) 568-9911
(281) 568-0093
Mailing address
12220 MURPHY RD STE R, STAFFORD, TX 77477-2410
(281) 568-9911
(281) 568-0093
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
110390
TX
Other
Enumeration date
05/20/2016
Last updated
01/22/2018
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