Organization · Type 2 NPI

Glacier Dialysis LLC

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

NPI number 1477805083 Active

Practice location

324 FM 1960 Rd Ste 104
Houston, TX 77073-1887

Call (281) 443-2209 Map

Fax (281) 443-1983

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1477805083

Glacier Dialysis LLC's National Provider Identifier is 1477805083, issued on Oct 5, 2012. 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 Aug 26, 2021.