Organization
HEALING DIALYSIS- NW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RATNAKAR R MULPURI (MANAGER)
(832) 898-1429
Entity
Organization
Contact information
Practice address
724 FM 1960 RD W STE 100, HOUSTON, TX 77090-3402
(832) 685-0005
(832) 685-0009
Mailing address
200 S RIVERSHIRE DR STE 300, CONROE, TX 77304-3485
(832) 685-0005
(832) 685-0009
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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