NPIMap

Organization Active NPI

WT. Mt. Houston Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Houston, TX
National Provider Identifier
1851457303
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
008242 Issued in TX
Legal business name
WT. MT. HOUSTON DIALYSIS CENTER
Practice address
2506 WT. Mt. Houston Rd.
Ste. a
Houston, TX 77018
Phone
(281) 820-4880
Fax
(281) 820-7062
NPI assigned
Dec 29, 2006
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
Ms. Lea Mangalino, BSN, RN CCRN
Title
Administrator
Phone
(281) 820-4880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 008242 TX Primary

Addresses

Primary practice location

2506 WT. Mt. Houston Rd.
Ste. a
Houston, TX 77018

Mailing address

2506 WT. Mt. Houston Rd.
Ste. a
Houston, TX 77018
Phone (281) 820-4880

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851457303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 WT. MT. HOUSTON RD.",
            "address_2": "STE. A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77018",
            "telephone_number": "281-820-4880",
            "fax_number": "281-820-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 WT. MT. HOUSTON RD.",
            "address_2": "STE. A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77018",
            "telephone_number": "281-820-4880",
            "fax_number": "281-820-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WT. MT. HOUSTON DIALYSIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANGALINO",
        "authorized_official_first_name": "LEA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-820-4880",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN, RN CCRN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "008242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, 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.