Organization · Type 2 NPI

Bannack Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Houston, TX

NPI number 1154775534 Active

Practice location

12606 Westpark Dr
Houston, TX 77082-5526

Call (281) 679-1848 Map

Fax (281) 496-2093

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

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...

2 other providers at this address

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NPI record

NPI: 1154775534
Entity type: Organization (Type 2)
Issued: Apr 21, 2016
Last updated: Jul 17, 2024
Status: Active

Other names

<unavail>
Dairy Ashford Dialysis · doing business as
Dairy Ashford Dialysis · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

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About NPI 1154775534

Bannack Dialysis LLC's National Provider Identifier is 1154775534, issued on Apr 21, 2016. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Houston, TX. The record was last updated on Jul 17, 2024.