Provider Demographics
NPI:1639405079
Name:FIRST COLONY DIALYSIS CENTER INC
Entity Type:Organization
Organization Name:FIRST COLONY DIALYSIS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
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 1:1107 SOLDIERS FIELD DR
Mailing Address - Street 2:
Mailing Address - City:SUGARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4002
Mailing Address - Country:US
Mailing Address - Phone:713-464-0236
Mailing Address - Fax:281-817-7725
Practice Address - Street 1:1107 SOLDIERS FIELD DR
Practice Address - Street 2:
Practice Address - City:SUGARLAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4002
Practice Address - Country:US
Practice Address - Phone:713-464-0236
Practice Address - Fax:281-817-7725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-20
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment