Organization
WT. MT. HOUSTON DIALYSIS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEA MANGALINO BSN, RN CCRN (ADMINISTRATOR)
(281) 820-4880
Entity
Organization
Contact information
Practice address
2506 WT. MT. HOUSTON RD., STE. A, HOUSTON, TX 77018
(281) 820-4880
(281) 820-7062
Mailing address
2506 WT. MT. HOUSTON RD., STE. A, HOUSTON, TX 77018
(281) 820-4880
(281) 820-7062
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
008242
TX
Other
Enumeration date
12/29/2006
Last updated
08/22/2020
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