Provider Demographics
NPI:1467513051
Name:RENAL SOLUTIONS, INC.
Entity Type:Organization
Organization Name:RENAL SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEGUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-680-9056
Mailing Address - Street 1:2756 W T C JESTER BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-7003
Mailing Address - Country:US
Mailing Address - Phone:713-680-9056
Mailing Address - Fax:713-680-9310
Practice Address - Street 1:2756 W T C JESTER BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-7003
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:2006-12-13
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007993261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX167081201Medicaid
TX45-2877Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER