Organization · NPI-2

A-Team Dialysis, LLC

Registered Nurse, Dialysis, Peritoneal · Stafford, TX

NPI number1275901662
StatusActive
Last updated in NPPESSep 2, 2015

Details

NPI
1275901662
Entity type
Organization (NPI-2)
Legal business name
A-Team Dialysis, LLC
Organization subpart
No
Enumeration date
Sep 2, 2015
Last updated
Sep 2, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WD1100X Registered Nurse, Dialysis, Peritoneal––Yes

Practice location

11929 W Airport Blvd
Stafford, TX 77477-2451

Phone 281-935-5093

Mailing address

9803 Winter Run Dr
Houston, TX 77064-5293

Phone 281-935-5093

Authorized official

Ricky C Siloran
Member
2818074086

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