Fortbend Dialysis Renal Inc.

Primary specialty

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

License

110390 Issued in TX

Legal business name

FORTBEND DIALYSIS RENAL INC.

Practice address

12220 Murphy Rd Ste R
Stafford, TX 77477-2410

Phone

(281) 568-9911

Fax

(281) 568-0093

NPI assigned

May 20, 2016

Last updated

Jan 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Voukep

Title

Administrator

Phone

(240) 246-4306

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1720435662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 MURPHY RD STE R",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772410",
            "telephone_number": "281-568-9911",
            "fax_number": "281-568-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 MURPHY RD STE R",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772410",
            "telephone_number": "281-568-9911",
            "fax_number": "281-568-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTBEND DIALYSIS RENAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "VOUKEP",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-246-4306"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "110390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Flowers
• Carla Fontenot, RN
• Fort Bend Family Health Center, Inc. (AccessHealth)
• Fort Bend Methodist Hospice LLC
• Fort Bend Regional Council on Substance Abuse, Inc.
• Jasmine Fosner
• Daralyn J Foster, LVN
• Dominique Foster
• Emmanvella Celestine Fowlks
• Wendy Framsted

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Stafford, TX
• Providers in Stafford, 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 22, 2018; 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.