Organization Active NPI

Stafford Dialysis Renal Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Stafford, TX
National Provider Identifier
1306000849
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
STAFFORD DIALYSIS RENAL INC.
Practice address
12220 Murphy Rd
Suite R
Stafford, TX 77477-2410
Phone
(713) 545-6506
NPI assigned
Jul 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Dr. Christian Ogbebor, M.DNPI 1285728410
Title
Ceo
Phone
(832) 298-3658

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

12220 Murphy Rd
Suite R
Stafford, TX 77477-2410

Mailing address

12220 Murphy Rd
Sutie R
Stafford, TX 77477-2410
Phone (713) 545-6506

National Provider Directory

National Provider Directory

Locations

12220 Murphy Rd
Ste R
Stafford, TX 77477
Phone (281) 568-9911

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1306000849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 MURPHY RD",
            "address_2": "SUTIE R",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772410",
            "telephone_number": "713-545-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 MURPHY RD",
            "address_2": "SUITE R",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772410",
            "telephone_number": "713-545-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD DIALYSIS RENAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "OGBEBOR",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-298-3658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 14, 2008; 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.