| Renal Success, Pllc | |
|
902 Frostwood Dr Suite 270 Houston TX 77024-2420 | |
| (832) 857-1848 | |
| (713) 456-3507 |
| Full Name | Renal Success, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 902 Frostwood Dr, Houston, Texas |
| Authorized Official Name and Position | Elson Thomas (PRESIDENT) |
| Authorized Official Contact | 7133204312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renal Success, Pllc Po Box 25405 Houston TX 77265-5405 Ph: (713) 320-4312 | Renal Success, Pllc 902 Frostwood Dr Suite 270 Houston TX 77024-2420 Ph: (832) 857-1848 |
| NPI Number | 1841617982 |
|---|---|
| Provider Enumeration Date | 03/26/2014 |
| Last Update Date | 01/10/2017 |
| Medicare PECOS PAC ID | 3375854169 |
|---|---|
| Medicare Enrollment ID | O20150619001857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841617982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N4154 (Texas) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | N4154 (Texas) | Primary |
| Provider Name | Elson M Thomas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881782282 PECOS PAC ID: 4688711146 Enrollment ID: I20091102000489 |
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