NPIMap

Organization Active NPI

Urea Dialysis Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Stafford, TX
National Provider Identifier
1124140462
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
H5209 Issued in TX
Legal business name
UREA DIALYSIS INC
Practice address
13000 Murphy Rd
Ste 120
Stafford, TX 77477-3970
Phone
(281) 313-0449
Fax
(713) 981-7774
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joe Kimble
Title
Ceo
Phone
(281) 313-0449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X H5209 TX Primary

Addresses

Primary practice location

13000 Murphy Rd
Ste 120
Stafford, TX 77477-3970

Mailing address

13000 Murphy Rd
Ste 120
Stafford, TX 77477-3970
Phone (281) 313-0449

Other names 1

  • Center for Advanced Infusion Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Center for Advanced Infusion3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124140462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 MURPHY RD",
            "address_2": "STE 120",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773970",
            "telephone_number": "281-313-0449",
            "fax_number": "713-981-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 MURPHY RD",
            "address_2": "STE 120",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773970",
            "telephone_number": "281-313-0449",
            "fax_number": "713-981-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UREA DIALYSIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIMBLE",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-313-0449",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "H5209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Advanced Infusion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.