Organization
CLEAR LAKE DIALYSIS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUPAL PATEL MD (OWNER)
(713) 520-6875
Entity
Organization
Contact information
Practice address
1050 GEMINI ST, HOUSTON, TX 77058-2706
(713) 520-6875
(713) 520-6876
Mailing address
7015 ALMEDA RD, HOUSTON, TX 77054-2101
(713) 520-6875
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2017
Last updated
06/14/2021
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