Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Glacier Dialysis LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1477805083

Glacier Dialysis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Houston, Texas. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

324 Fm 1960 Rd Ste 104
Houston, TX 77073-1887
Phone: (281) 443-2209
Fax: (281) 443-1983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1477805083
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Winstel — Chief Accounting Officer · (253) 733-4501
Other names North Park Dialysis; North Park Dialysis
NPI enumeratedOctober 5, 2012
Last updated in NPPESAugust 26, 2021
Certification dateAugust 26, 2021
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

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