One On One Kidney Care | |
4300 Fairmont Pkwy Ste 100 Pasadena TX 77504 | |
(832) 617-8816 | |
(713) 513-5394 |
Full Name | One On One Kidney Care |
---|---|
Speciality | Clinic/center - End-stage Renal Disease (esrd) Treatment |
Location | 4300 Fairmont Pkwy Ste 100, Pasadena, Texas |
Authorized Official Name and Position | Alan Comple (FACILITY ADMINISTRATOR) |
Authorized Official Contact | 7135693961 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
One On One Kidney Care 4300 Fairmont Pkwy Ste 100 Pasadena TX 77504-3306 Ph: (832) 617-8816 | One On One Kidney Care 4300 Fairmont Pkwy Ste 100 Pasadena TX 77504 Ph: (832) 617-8816 |
NPI Number | 1184117103 |
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Provider Enumeration Date | 06/13/2018 |
Last Update Date | 06/17/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184117103 | NPI | - | NPPES |
110508 | Other | TX | ESRD LICENSE |
1976747 | Other | TX | NOVITAS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
261QE0700X | Clinic/center - End-stage Renal Disease (esrd) Treatment | (* (Not Available)) | Primary |
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