Organization
EUMANA HOME DIALYSIS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UCHEGBULEM ALOYSIUS EZE PHARM.D (PHARMACIST)
(713) 668-2744
Entity
Organization
Contact information
Practice address
1313 LA CONCHA LN, HOUSTON, TX 77054-1809
(713) 668-2744
(713) 795-5959
Mailing address
1313 LA CONCHA LN, HOUSTON, TX 77054-1809
(713) 668-2744
(713) 795-5959
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
17448
TX
Other
Enumeration date
08/23/2006
Last updated
08/22/2020
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