Freeport Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

FREEPORT DIALYSIS LLC

Practice address

326 S Brazosport Blvd
Freeport, TX 77541-4540

Phone

(979) 297-2220

NPI assigned

Apr 6, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Manaf Alroumoh, MDNPI 1548350614

Title

Ceo

Phone

(979) 297-2220

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manaf A Alroumoh, M.D.

  • Nephrology Physician
  • Houston, TX
  • NPI 1548350614
  NPD Authorized official
• Aymen Abbas Hasan Aldujaili, MD

  • Nephrology Physician
  • Houston, TX
  • NPI 1073952479
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1003445511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 THIS WAY ST STE B",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665152",
            "telephone_number": "979-297-2220",
            "fax_number": "979-297-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 S BRAZOSPORT BLVD",
            "city": "FREEPORT",
            "state": "TX",
            "postal_code": "775414540",
            "telephone_number": "979-297-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEPORT DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "ALROUMOH",
        "authorized_official_first_name": "MANAF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "979-297-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "freedom-dialysis.com",
            "affiliation": "N",
            "address_1": "326 S Brazosport Blvd",
            "city": "Freeport",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775414540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "freedom-dialysis.com",
            "affiliation": "N",
            "address_1": "326 S Brazosport Blvd",
            "city": "Freeport",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775414540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Isaac Dike
• Emily Espinoza, MAT, ATC
• Farah Talib PLLC
• Freeport Comprehensive Dentistry PLLC
• Freeport Dental Group PLLC
• Freeport Family Dentistry
• Freeport Medical Clinic, PLLC
• Talia Fulsom, LVN
• Carmen Garcia-Garza, MSN, RN, FNP-C
• Aida Garza, LCDC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Freeport, TX
• Providers in Freeport, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.