Organization · Type 2 NPI

Memorial Dialysis Center LP

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

NPI number 1720041460 Active

Practice location

11621 Katy Fwy
Houston, TX 77079-1801

Call (281) 558-5702 Map

Fax (281) 597-8377

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	008214 (TX)

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

Another provider at this address

Christopher Jeong, PTAPhysical Therapy Assistant Houston, TX NPI 1487236915

Other end-stage renal disease (esrd) treatment clinic/center providers in Houston

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NPI record

NPI: 1720041460
Entity type: Organization (Type 2)
Issued: Apr 11, 2006
Last updated: Oct 8, 2026
Status: Active

Other names

<unavail>
Memorial Dialysis Center · doing business as
Memorial Dialysis Center · doing business as

Authorized official

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

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1720041460

Memorial Dialysis Center LP's National Provider Identifier is 1720041460, issued on Apr 11, 2006. 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 Oct 8, 2026.