Provider Demographics
NPI:1528226867
Name:1960 DIALYSIS CENTER INC.
Entity Type:Organization
Organization Name:1960 DIALYSIS CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PINAKIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-464-0236
Mailing Address - Street 1:324 FM 1960 RD E
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-1810
Mailing Address - Country:US
Mailing Address - Phone:281-443-2209
Mailing Address - Fax:713-456-7924
Practice Address - Street 1:324 FM 1960 RD E
Practice Address - Street 2:SUITE 104
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-1810
Practice Address - Country:US
Practice Address - Phone:281-443-2209
Practice Address - Fax:713-456-7924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment