Organization
DIALYSPA II LLC
Active
Other names
Dialyspa Vintage Park
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E KALINA MD (CEO)
(713) 218-6500
Entity
Organization
Contact information
Practice address
102 VINTAGE PARK BLVD STE A, HOUSTON, TX 77070-4079
(713) 218-6500
Mailing address
PO BOX 128, BELLAIRE, TX 77402-0128
(281) 833-3330
(281) 833-3323
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
110174
TX
Other
Enumeration date
11/21/2012
Last updated
08/11/2020
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