Crown Dialysis Clinic, LLC.

Primary specialty

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

Legal business name

CROWN DIALYSIS CLINIC, LLC.

Practice address

12626 Woodforest Blvd # C
Houston, TX 77015-3425

Phone

(713) 301-2609

Fax

(713) 455-3387

NPI assigned

Jul 9, 2008

Organization subpart

No

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

Authorized official

Name

Alexander Abe

Title

Ceo

Phone

(713) 301-2609

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1427211440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12626 WOODFOREST BLVD # C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153425",
            "telephone_number": "713-301-2609",
            "fax_number": "713-455-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12626 WOODFOREST BLVD # C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153425",
            "telephone_number": "713-301-2609",
            "fax_number": "713-455-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN DIALYSIS CLINIC, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "ABE",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-301-2609"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Houston, TX
• Providers in Houston, 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 Jan 14, 2010; 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.