Organization
BEECHNUT DIALYSIS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA PATEL (CEO)
(832) 265-2341
Entity
Organization
Contact information
Practice address
8325 BEECHNUT ST, HOUSTON, TX 77036-6853
(713) 772-5228
(713) 490-2344
Mailing address
PO BOX 720540, HOUSTON, TX 77272-0540
(713) 772-5228
(713) 490-2344
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary
0080004
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163949402
—
TX
Enumeration date
06/24/2005
Last updated
04/21/2021
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