Provider Demographics
NPI:1780309377
Name:WEST HOUSTON NEPHROLOGY, PLLC
Entity type:Organization
Organization Name:WEST HOUSTON NEPHROLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGGIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-464-7768
Mailing Address - Street 1:1140 BUSINESS CENTER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-2740
Mailing Address - Country:US
Mailing Address - Phone:713-464-7768
Mailing Address - Fax:713-464-2436
Practice Address - Street 1:1140 BUSINESS CENTER DR STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-2740
Practice Address - Country:US
Practice Address - Phone:713-464-7768
Practice Address - Fax:713-464-2436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-06
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty