Diamond Dialysis - Stafford Texas LLC

NPI #1104336650 in Stafford, Texas

Provider Information

NPI Number
1104336650
Entity Type
Organization
Organization Name
Diamond Dialysis - Stafford Texas LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Oct 10, 2017
Last Updated
Oct 10, 2017

Practice Location

Address
3623 SOUTH MAIN STREET
Address 2
SUITE 100
State
Texas
ZIP Code
77477
Phone
(832) 987-1793

Authorized Official

Name
MR. RODNEY WILSON
Title
CFO
Phone
(281) 785-8242

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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