OrganizationActive
Bannack Dialysis LLC
NPI 1154775534 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Houston, TX
Provider details
- NPI number
- 1154775534
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp Licensure & Certification(615) 341-6641
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
12606 Westpark Dr
Houston, TX 77082-5526
Phone: (281) 679-1848
Fax: (281) 496-2093
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Dairy Ashford Dialysis
- Doing business as
- Dairy Ashford Dialysis
Registry dates
- Enumerated
- 2016-04-21
- Last updated
- 2024-07-17
- Certified
- 2024-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.