Dairy Ashford Dialysis

LBN: Bannack Dialysis Llc
Dairy Ashford Dialysis is an health care organization with primary practice located at 12606 Westpark Dr , Houston TX 77082-5526. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Bannack Dialysis Llc can be contacted via phone (281) 679-1848, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
12606 Westpark Dr Houston TX 77082-5526
Phone: (281) 679-1848
Fax: (281) 496-2093
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1154775534
LBN Legal business name Bannack Dialysis Llc
DBA Doing business as Dairy Ashford Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2016
Last updated Jul 17th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154775534 NPPES
Texas MEDICAID 3746448-02

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