Organization
DIAMOND DIALYSIS - MISSOURI CITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARION WILSON (FACILITY ADMINISTRATOR)
(713) 294-7553
Entity
Organization
Contact information
Practice address
5603 HIGHWAY 6, MISSOURI CITY, TX 77459-4189
(832) 987-1353
Mailing address
5603 HIGHWAY 6, MISSOURI CITY, TX 77459-4189
(832) 987-1353
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2015
Last updated
12/26/2019
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