CLEAR LAKE DIALYSIS CENTER – NPI #1861905408
Clinic/Center

CLEAR LAKE DIALYSIS CENTER is an AHC clinic located in HOUSTON, TX. NPPES has assigned the NPI number 1861905408 to CLEAR LAKE DIALYSIS CENTER on November 06, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 5 years ago on Jun 14, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLEAR LAKE DIALYSIS CENTER below.

NPI Profile for
CLEAR LAKE DIALYSIS CENTER

NPI Number
1861905408
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLEAR LAKE DIALYSIS CENTER
Primary location
1050 GEMINI ST
HOUSTON, TX 77058-2706
Phone: (713) 520-6875 Fax: (713) 520-6876
Mailing address
7015 ALMEDA RD
HOUSTON, TX 77054-2101
Phone: (713) 520-6875 Fax:
Organization Subpart
No
Authorized Official
RUPAL PATEL
OWNER
Phone: (713) 520-6875
Updated
Certification Date
Jun 14, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.