Provider Demographics
NPI:1760744866
Name:KEY CHOICE, LLC
Entity Type:Organization
Organization Name:KEY CHOICE, LLC
Other - Org Name:KEY CHOICE DIALYSIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELLATIF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-248-9597
Mailing Address - Street 1:5420 DASHWOOD DR STE 207
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-5332
Mailing Address - Country:US
Mailing Address - Phone:832-830-8129
Mailing Address - Fax:832-830-8569
Practice Address - Street 1:5420 DASHWOOD DR
Practice Address - Street 2:207
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-5332
Practice Address - Country:US
Practice Address - Phone:832-248-9597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-13
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment