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Bannack Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Houston, Texas
NPI 1154775534

Bannack Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, TX and is specialized in End-Stage Renal Disease (ESRD) Treatment. Bannack Dialysis Llc practices in Houston, TX. The NPI Number for Bannack Dialysis Llc is 1154775534 and holds a License No. (Texas).

The current practice location address for Bannack Dialysis Llc is 12606 Westpark Dr, Houston, TX and can be reached out via phone at 281-679-1848 and via fax at 281-496-2093.

Location: 12606 Westpark Dr, Houston, TX, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154775534
Provider Name
Bannack Dialysis Llc
Credential
Provider Entity Type
Organization
Address
12606 Westpark Dr, Houston, TX, 37027-7569
Phone Number
281-679-1848
Fax Number
281-496-2093
Provider Enumeration Date
04/21/2016
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3746448-02 05 TX
institution
Provider Business Practice Location Address Details
Address
12606 Westpark Dr
City
Houston
State
Texas
Zip
77082-5526
Phone Number
281-679-1848
Fax Number
281-496-2093
person
Provider Business Mailing Address Details
Address
12606 Westpark Dr
City
Houston
State
Texas
Zip
77082-5526
Phone Number
281-679-1848
Fax Number
281-496-2093
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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