Organization
SINGULAR LUXURY DIALYSIS PEARLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER ENABE RN (OWNER)
(713) 628-2646
Entity
Organization
Contact information
Practice address
11161 SHADOW CREEK PKWY STE 101, PEARLAND, TX 77584-7286
(346) 409-1192
(713) 413-8886
Mailing address
11161 SHADOW CREEK PKWY STE 101, PEARLAND, TX 77584-7286
(832) 905-6200
(832) 850-6482
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110555
TEXAS STATE DEPARTMENT OF HEALTH SERVICES
TX
Enumeration date
05/19/2020
Last updated
03/04/2021
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