DIAMOND DIALYSIS - STAFFORD TEXAS LLC (NPI# 1104336650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104336650 |
| Entity Type | Organization |
| Organization Name | DIAMOND DIALYSIS - STAFFORD TEXAS LLC |
| Practice Address |
3623 South Main Street Suite 100 Stafford TX 77477 |
| Mailing Address |
3623 South Main Street Suite #100 Stafford TX 77477 |
| Practice Telephone | 8329871793 |
| Practice Fax Number | 8329871873 |
| Mailing Telephone | 8329871793 |
| Mailing Fax Number | 8329871873 |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |
| Authorized Official Name | MR. RODNEY WILSON (CFO) |
| Authorized Official Telephone | 2817858242 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Street Address |
3623 SOUTH MAIN STREET SUITE 100 |
| City | STAFFORD |
| State | TX |
| Zip Code | 77477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904924 | Joby George Samuel | Pharmacist | 16675 W. Airport, Meadows Place, TX 77477 | 2020-08-28 |
| 1184261851 | Butterfly Wellness, Pllc | Family Medicine | 1250 Texas Parkway Ste A1, Missouri City, TX 77477 | 2019-12-02 |
| 1013564848 | B Williams & Co | Ambulance | 435 Murphy Rd, Suite B1, #233, Stafford, TX 77477 | 2019-08-26 |
| 1033763594 | Sabrina Gonzales-smith | Behavioral Analyst | 10435 Greenbough Dr. Suite 410, Stafford, TX 77477 | 2019-08-01 |
| 1578021986 | Daniel Max & Marcandrea LLC | Optometrist | 11229 W Airport Blvd, Suite 300, Stafford, TX 77477 | 2019-03-05 |
| 1245794783 | All Peoples Choice Healthcare Services Inc | Home Health | 11707 Kenzie Ct, Meadows Place, TX 77477 | 2019-01-29 |
| 1467925867 | Sheila Densie Wiltz | Counselor | 215 Kingsway Dr., Stafford, TX 77477 | 2019-01-08 |
| 1427529312 | Bianca Gil | Behavioral Analyst | 10435 Geenbough Dr, St 410, Stafford, TX 77477 | 2018-12-17 |
| 1508349770 | Cedric Ita Eyo | Counselor | 10500 Fountain Lake Drive, Apt. 428, Stafford, TX 77477 | 2018-09-12 |
| 1386126712 | Enajite Yvonne Omezi | Registered Nurse | 3001 Dove Country Drive, Apt 1809, Stafford, TX 77477 | 2018-09-01 |
| Find all providers in zip 77477 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720435662 | Fortbend Dialysis Renal Inc. | Clinic/Center | 12220 Murphy Rd Ste R, Stafford, TX 77477-2410 | 2016-05-20 |
| 1447637251 | Stafford Renal | Clinic/Center | 12240 Murphy Rd Ste A, Stafford, TX 77477-2411 | 2015-04-30 |
| 1306000849 | Stafford Dialysis Renal Inc. | Clinic/Center | 12220 Murphy Rd, Suite R, Stafford, TX 77477-2410 | 2008-07-14 |
| 1366546137 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 396 Garrisonville Rd, Stafford, VA 22554-1529 | 2006-09-12 |
| 1225076714 | Total Renal Care Inc | Clinic/Center | 70 Doc Stone Rd Ste 101, Stafford, VA 22556-4628 | 2006-06-04 |
| 1477112126 | Aqua Dialysis Fort Bend LLC | Clinic/Center | 12220 Murphy Rd Ste R, Stafford, TX 77477-2410 | 2019-06-06 |
| 1124140462 | Urea Dialysis Inc | Clinic/Center | 13000 Murphy Rd, Ste 120, Stafford, TX 77477-3970 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801931 | Usrc Mckinney, LLC | Clinic/Center | 1434 N Central Expy Ste 116, Mckinney, TX 75070-3108 | 2020-11-05 |
| 1437756772 | Usrc Bluebonnet, LLC | Clinic/Center | 1902 Windsor Pl, Ste 100, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1609473941 | Usrc Bluebonnet Home, LLC | Clinic/Center | 1902 Windsor Pl Ste 202, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1982210050 | Usrc Stephenville LLC | Clinic/Center | 942 Bluebonnet Dr, Stephenville, TX 76401-1764 | 2020-09-23 |
| 1801402979 | Usrc Garland LLC | Clinic/Center | 219 W Kingsley Rd Ste 316, Garland, TX 75041-3434 | 2020-09-23 |
| 1003422171 | Usrc Dialysis At Home West LLC | Clinic/Center | 12011 State Highway 151 Ste 222, San Antonio, TX 78251-1230 | 2020-09-23 |
| 1477165462 | Fresenius Medical Care South Lewisville, LLC | Clinic/Center | 101 E Southwest Pkwy Ste 110, Lewisville, TX 75067-8753 | 2020-08-20 |
| 1598383259 | Dialysis Clinic Inc. | Clinic/Center | 6146 Wurzbach Road, San Antonio, TX 78238 | 2020-07-09 |
| 1891312559 | Usrc Houston Newco Home LLC | Clinic/Center | 2000 Crawford St Ste 777, Houston, TX 77002-9006 | 2020-06-29 |
| 1427671502 | Usrc Plano Dexter, LLC | Clinic/Center | 4708 Dexter Dr, Plano, TX 75093-5288 | 2020-05-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.