Provider Demographics
NPI:1376664052
Name:UREA DIALYSIS INC
Entity Type:Organization
Organization Name:UREA DIALYSIS INC
Other - Org Name:UREA DIALYSIS EQUIPMENT & SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:V
Authorized Official - Last Name:KIMBLE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:281-709-3743
Mailing Address - Street 1:13000 MURPHY RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3970
Mailing Address - Country:US
Mailing Address - Phone:281-709-3743
Mailing Address - Fax:
Practice Address - Street 1:13000 MURPHY RD
Practice Address - Street 2:SUITE 120
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3970
Practice Address - Country:US
Practice Address - Phone:281-709-3743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies