Healing Dialysis- NW LLC

Primary specialty

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

Legal business name

HEALING DIALYSIS- NW LLC

Practice address

724 FM 1960 Rd W Ste 100
Houston, TX 77090-3402

Phone

(832) 685-0005

Fax

(832) 685-0009

NPI assigned

May 7, 2024

Last updated

May 7, 2024By 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

Mr. Ratnakar R Mulpuri

Title

Manager

Phone

(832) 898-1429

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Madhavilatha Vuppali, M.D

  • Nephrology Physician
  • Conroe, TX
  • NPI 1922276112
  NPD (past)

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1982452975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S RIVERSHIRE DR STE 300",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043485",
            "telephone_number": "832-685-0005",
            "fax_number": "832-685-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 FM 1960 RD W STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903402",
            "telephone_number": "832-685-0005",
            "fax_number": "832-685-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING DIALYSIS- NW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "MULPURI",
        "authorized_official_first_name": "RATNAKAR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-898-1429",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Healing Healthcare Providers

• 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 May 7, 2024; 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.