TANGLEWILDE DIALYSIS CENTER, LLC (NPI# 1467085167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467085167 |
| Entity Type | Organization |
| Organization Name | TANGLEWILDE DIALYSIS CENTER, LLC |
| Practice Address |
2620 Tanglewilde St Ste 110 Houston TX 77063-3203 |
| Practice Telephone | 8326053943 |
| Practice Fax Number | 7135888863 |
| Mailing Telephone | 8326053943 |
| Mailing Fax Number | 7135888863 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | MARGARET MODUPE ARISE (CEO/ MANAGING MEMBER) |
| Authorized Official Telephone | 8326053943 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Tanglewilde Dialysis Center | Doing Business As Name - Organization |
| Street Address |
2620 TANGLEWILDE ST STE 110 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77063-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443266 | Diagnostic Enterprises | Clinical Medical Laboratory | 2540 Fondren Road, Suite 265, Houston, TX 77063 | 2020-07-06 |
| 1184247926 | Two Hands Pllc | Day Training, Developmentally Disabled Services | 3945 Braxton Dr Ste 1, Houston, TX 77063 | 2020-05-27 |
| 1700445376 | Diana Carter | Licensed Vocational Nurse | 1602 S City Oak Ln, Houston, TX 77063 | 2019-06-07 |
| 1952964264 | Pamela Lowrance | Specialist | 8401 Westhiemer Rd. #503, Inside Blue Lion Salon Studios, Houston, TX 77063 | 2019-04-22 |
| 1104381649 | Jaileen Grullon | Physical Therapy Assistant | 9638 Beverlyhill Street, Houston, TX 77063 | 2019-02-08 |
| 1134696826 | Adriane De Freitas Barroso | Psychologist | 7670 Woodway Dr Ste 360, Houston, TX 77063 | 2018-10-31 |
| 1740765932 | Sean A Maxwell | Physical Therapist | 2500 Fondern Road, Suite 302, Houston, TX 77063 | 2018-10-03 |
| 1578065074 | Johannah Sommer Garza | Psychologist | 7660 Woodway Dr Ste 599, Houston, TX 77063 | 2018-03-01 |
| 1477069995 | Modern Med Health Solutions LLC | Nurse Practitioner | 9950 Westpark Dr Ste 312, Houston, TX 77063 | 2017-12-20 |
| 1306360177 | Desmond Eugene Blake Sr. | Specialist | 3201 Fondren Rd, Houston, TX 77063 | 2017-08-02 |
| Find all providers in zip 77063 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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|---|---|---|---|---|
| 1891312559 | Usrc Houston Newco Home LLC | Clinic/Center | 2000 Crawford St Ste 777, Houston, TX 77002-9006 | 2020-06-29 |
| 1477185957 | South Belt Kidney Center LLC | Clinic/Center | 3327 S Sam Houston Pkwy E Ste 200, Houston, TX 77047-6504 | 2020-02-12 |
| 1679047518 | Fresenius Medical Care Market Street Dialysis, LLC | Clinic/Center | 12098 East Fwy, Houston, TX 77029-1916 | 2019-01-14 |
| 1922575323 | Fresenius Medical Care Ella, LLC | Clinic/Center | 1900 North Loop W Ste 200, Houston, TX 77018-8117 | 2018-10-24 |
| 1821575077 | Tolland Dialysis LLC | Clinic/Center | 4751 W Fuqua St, Houston, TX 77045-6104 | 2018-07-20 |
| 1053801225 | Dialyspa Vii LLC | Clinic/Center | 1411 Bonner St., Houston, TX 77058 | 2018-05-14 |
| 1366943847 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 8700 S Gessner Rd Ste 300, Houston, TX 77074-2916 | 2018-02-21 |
| 1548774433 | Bio-medical Applications of Texas, Inc | Clinic/Center | 10505 Jones Rd, Houston, TX 77065-4211 | 2017-11-30 |
| 1861905408 | Clear Lake Dialysis Center | Clinic/Center | 1050 Gemini St, Houston, TX 77058-2706 | 2017-11-06 |
| 1760908297 | First Choice Home Dialysis LLC | Clinic/Center | 7737 Beechnut Street, Suite 204, Houston, TX 77074 | 2017-08-16 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.