Organization
DIALYZE DIRECT TX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA ROTHENBERG (AUTHORIZED AGENT)
(732) 806-9968
Entity
Organization
Contact information
Practice address
16545 SOUTHWEST FWY, STE 275, SUGAR LAND, TX 77479-2891
(832) 944-5040
(832) 944-5043
Mailing address
1575 50TH ST, STE 401, BROOKLYN, NY 11219-3769
(832) 944-5040
(732) 806-9969
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
TX
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2015
Last updated
10/21/2015
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