Provider Demographics
NPI:1134259799
Name:HOUSTON RENAL ASSOCIATES PLLC
Entity type:Organization
Organization Name:HOUSTON RENAL ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMIR
Authorized Official - Middle Name:N
Authorized Official - Last Name:TUMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-526-5105
Mailing Address - Street 1:9246 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-5817
Mailing Address - Country:US
Mailing Address - Phone:713-526-5105
Mailing Address - Fax:713-526-5805
Practice Address - Street 1:1213 HERMANN DR STE 700
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7013
Practice Address - Country:US
Practice Address - Phone:713-526-5105
Practice Address - Fax:713-526-5805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8829207RN0300X
TXF2487207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Y060Medicare PIN