Organization
HUMBLE DIALYSIS, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN HARRIS RN (DIRECTOR OF NURSING/ FACILITY ADMIN)
(281) 540-4313
Entity
Organization
Contact information
Practice address
19502 MCKAY DR STE 100, HUMBLE, TX 77338-5720
(281) 540-4313
(281) 540-4185
Mailing address
19502 MCKAY DR STE 100, HUMBLE, TX 77338-5720
(281) 540-4313
(281) 540-4185
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
110007
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337172601
—
TX
01
—
N1001828
WELLCARE PROVIDER NUMBER
TX
Enumeration date
09/01/2009
Last updated
09/21/2022
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