Provider Demographics
NPI:1184718173
Name:RENAL SOLUTIONS DIALYSIS SERVICES
Entity type:Organization
Organization Name:RENAL SOLUTIONS DIALYSIS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DE GUZMEN
Authorized Official - Suffix:
Authorized Official - Credentials:RM
Authorized Official - Phone:713-680-9056
Mailing Address - Street 1:2756 WEST T C JESTER BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018
Mailing Address - Country:US
Mailing Address - Phone:713-680-9056
Mailing Address - Fax:713-680-9310
Practice Address - Street 1:2756 WEST T C JESTER BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018
Practice Address - Country:US
Practice Address - Phone:713-680-9056
Practice Address - Fax:713-680-9310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0079932472R0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2472R0900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherRenal DialysisGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX452877Medicare ID - Type Unspecified