Organization · Type 2 NPI
Diamond Dialysis - Stafford Texas LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Stafford, TX
NPI number
1104336650
Active
Practice location
3623 South Main Street, Suite 100
Stafford, TX 77477
Fax (832) 987-1873
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1104336650
Diamond Dialysis - Stafford Texas LLC's National Provider Identifier is 1104336650, issued on Oct 10, 2017. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Stafford, TX. The record was last updated on Oct 10, 2017.