Providence Home Dialysis LLC
Providence Home Dialysis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Houston, Texas. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
7737 Beechnut St Ste 102Houston, TX 77074-3109
Phone: (713) 861-7500
Fax: (713) 861-7502
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1720782410 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shonta Williams — Coo · (346) 388-0656 |
| NPI enumerated | March 28, 2023 |
| Last updated in NPPES | July 10, 2023 |
| Certification date | July 10, 2023 |
| Mailing address | 7737 Beechnut St Ste 102, Houston, TX 77074-3109 |
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