CLEAR LAKE DIALYSIS CENTER (NPI# 1861905408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861905408 |
Entity Type | Organization |
Organization Name | CLEAR LAKE DIALYSIS CENTER |
Practice Address |
1050 Gemini St Houston TX 77058-2706 |
Mailing Address |
7015 Almeda Rd Houston TX 77054-2101 |
Practice Telephone | 7135206875 |
Practice Fax Number | 7135206876 |
Mailing Telephone | 7135206875 |
Enumeration Date | 2017-11-06 |
Last Update Date | 2017-11-06 |
Authorized Official Name | RUPAL PATEL (OWNER) |
Authorized Official Telephone | 7135206875 |
Authorized Official Credential | MD |
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 |
1050 GEMINI ST |
City | HOUSTON |
State | TX |
Zip Code | 77058-2706 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427545540 | Orbis Surgery Center LLC | Clinic/Center | 1050 Gemini St, Houston, TX 77058-2706 | 2018-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699248807 | Jolly Joseph | Nurse Practitioner | 18300, Houston Methodist, Houston, TX 77058 | 2019-01-10 |
1700372992 | Jasmin Elise Auzenne | Audiologist | 17625 El Camino Real Ste 155, Houston, TX 77058 | 2018-07-10 |
1053801225 | Dialyspa Vii LLC | Clinic/Center | 1411 Bonner St., Houston, TX 77058 | 2018-05-14 |
1699263285 | Pneucare, LLC | Durable Medical Equipment & Medical Supplies | 1322 Space Park Dr Ste C120, Houston, TX 77058 | 2018-04-29 |
1972005189 | Limy Fernandus | Nurse Practitioner | 985 E Nasa Pkwy, Houston, TX 77058 | 2018-03-03 |
1033623616 | Sigi Paul | Nurse Practitioner | 1210 El Camino Village Dr., Houston, TX 77058 | 2017-11-19 |
1881107845 | Jennifer Elise Hobson | Counselor | 1322 Space Park Dr Ste B123, Houston, TX 77058 | 2017-11-13 |
1174035778 | Agrarian Wellness, LLC | Registered Nurse | 17000 El Camino Real Ste 209, Houston, TX 77058 | 2017-11-04 |
1013468073 | Cynthia Bandemer | Counselor | 17300 El Camino Real Ste 107d, Houston, TX 77058 | 2016-10-14 |
1043698533 | Hopewell Home Healthcare LLC | Nursing Care | 18090 Kings Row, Houston, TX 77058 | 2015-05-15 |
Find all providers in zip 77058 |
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 |
---|---|---|---|---|
1891312559 | Usrc Houston Newco Home LLC | Clinic/Center | 2000 Crawford St Ste 777, Houston, TX 77002-9006 | 2020-06-29 |
1467085167 | Tanglewilde Dialysis Center, LLC | Clinic/Center | 2620 Tanglewilde St Ste 110, Houston, TX 77063-3203 | 2020-02-20 |
1477185957 | South Belt Kidney Center LLC | Clinic/Center | 3327 S Sam Houston Pkwy E Ste 200, Houston, TX 77047-6504 | 2020-02-12 |
1679047518 | Fresenius Medical Care Market Street Dialysis, LLC | Clinic/Center | 12098 East Fwy, Houston, TX 77029-1916 | 2019-01-14 |
1922575323 | Fresenius Medical Care Ella, LLC | Clinic/Center | 1900 North Loop W Ste 200, Houston, TX 77018-8117 | 2018-10-24 |
1821575077 | Tolland Dialysis LLC | Clinic/Center | 4751 W Fuqua St, Houston, TX 77045-6104 | 2018-07-20 |
1053801225 | Dialyspa Vii LLC | Clinic/Center | 1411 Bonner St., Houston, TX 77058 | 2018-05-14 |
1366943847 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 8700 S Gessner Rd Ste 300, Houston, TX 77074-2916 | 2018-02-21 |
1548774433 | Bio-medical Applications of Texas, Inc | Clinic/Center | 10505 Jones Rd, Houston, TX 77065-4211 | 2017-11-30 |
1760908297 | First Choice Home Dialysis LLC | Clinic/Center | 7737 Beechnut Street, Suite 204, Houston, TX 77074 | 2017-08-16 |
Find all providers in HOUSTON |
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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.