Tanglewilde Dialysis Center, LLC

Primary specialty

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

Legal business name

TANGLEWILDE DIALYSIS CENTER, LLC

Practice address

2620 Tanglewilde St Ste 110
Houston, TX 77063-3203

Phone

(832) 605-3943

Fax

(713) 588-8863

NPI assigned

Feb 20, 2020

Organization subpart

No

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

Authorized official

Name

Margaret Modupe Arise, RN

Title

Ceo/ Managing Member

Phone

(832) 605-3943

Specialties & licenses 1

Addresses

Other names 1

• Tanglewilde Dialysis Center Doing business as

Locations

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1467085167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 TANGLEWILDE ST STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633203",
            "telephone_number": "832-605-3943",
            "fax_number": "713-588-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 TANGLEWILDE ST STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633203",
            "telephone_number": "832-605-3943",
            "fax_number": "713-588-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANGLEWILDE DIALYSIS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "ARISE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "MODUPE",
        "authorized_official_title_or_position": "CEO/ MANAGING MEMBER",
        "authorized_official_telephone_number": "832-605-3943",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tanglewilde Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tangela Bristo
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• Tangled Wellness LLC
• Tanglewilde Pharmacy
• Tanglewood Behavioral Health Group PC
• Tanglewood Chiropractic
• Tanglewood Court
• Tanglewood Dental Associates,P.C.,D.D.S

• 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 Feb 20, 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.