SPACE CITY DIALYSIS PASADENA - DSI LLC NPI 1487105920

NPI Information

NPI: 1487105920
Provider Name: SPACE CITY DIALYSIS PASADENA - DSI, LLC

Doing Business As: US RENAL CARE SPACE CITY DIALYSIS LLC

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3402 BURKE RD
PASADENA, TX
ZIP 77504
Phone: (713) 425-0428
Get Directions

SPACE CITY DIALYSIS PASADENA - DSI, LLC is an end-stage renal disease (esrd) treatment clinic center in Pasadena, TX. SPACE CITY DIALYSIS PASADENA - DSI, LLC NPI is 1487105920. The provider is registered as an organization entity type.
The provider Is Doing Business As Us Renal Care Space City Dialysis Llc.

The provider's business location address is:

3402 BURKE RD
PASADENA, TX
ZIP 77504-805
Phone: (713) 425-0428
Fax: (713) 425-0427

The provider's authorized official is Thomas L Weinberg .
The authorized official title is Chairman and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 45D2123422 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2016 and was last updated on 10/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »