NACOGDOCHES DIALYSIS CENTER LP (NPI# 1114250750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114250750 |
| Entity Type | Organization |
| Organization Name | NACOGDOCHES DIALYSIS CENTER LP |
| Practice Address |
3226 N University Dr Ste 100 Nacogdoches TX 75965-2684 |
| Mailing Address |
1000 W Cannon St Fort Worth TX 76104-3029 |
| Practice Telephone | 9365590031 |
| Practice Fax Number | 9365590037 |
| Mailing Telephone | (817) 725-7900 |
| Mailing Fax Number | 6822071030 |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2017-08-21 |
| Authorized Official Name | MRS. KINAM C. MARTIN (CHIEF OPERATIONS OFFICER) |
| Authorized Official Telephone | 8177257900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 366218101 | 05 | |
| TX | FACILITY LICENSE | 110360 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023495959 | Nacogdoches Dialysis Center Lp | Clinic/Center | 3226 N University Dr, Ste 100, Nacogdoches, TX 75965-2684 | 2015-04-29 |
| Street Address |
3226 N UNIVERSITY DR STE 100 |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965-2684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356733588 | I-dialysis, LLC | Clinic/Center | 8760 Us Hwy 59 S, Nacogdoches, TX 75964-3158 | 2015-02-25 |
| 1093876005 | Renal Care Group Nacogdoches, LLP | Clinic/Center | 3226 University Dr, 100, Nacogdoches, TX 75962-0001 | 2006-12-13 |
| 1134148372 | Dialysis Clinic Inc. | Clinic/Center | 4731 Ne Stallings Dr, Nacogdoches, TX 75965-1607 | 2006-07-19 |
| 1073112660 | Aqua Dialysis Nacogdoches, LLC | Clinic/Center | 3226 N University Dr, Nacogdoches, TX 75965-2682 | 2020-10-23 |
| 1518434927 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 3226 N University Dr, Nacogdoches, TX 75965-2682 | 2018-10-24 |
| 1023495959 | Nacogdoches Dialysis Center Lp | Clinic/Center | 3226 N University Dr, Ste 100, Nacogdoches, TX 75965-2684 | 2015-04-29 |
| 1588708341 | Nacogdoches County Hospital District | Clinic/Center | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2007-02-16 |
| 1497786925 | Nacogdoches County Hospital District | Clinic/Center | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801931 | Usrc Mckinney, LLC | Clinic/Center | 1434 N Central Expy Ste 116, Mckinney, TX 75070-3108 | 2020-11-05 |
| 1437756772 | Usrc Bluebonnet, LLC | Clinic/Center | 1902 Windsor Pl, Ste 100, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1609473941 | Usrc Bluebonnet Home, LLC | Clinic/Center | 1902 Windsor Pl Ste 202, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1982210050 | Usrc Stephenville LLC | Clinic/Center | 942 Bluebonnet Dr, Stephenville, TX 76401-1764 | 2020-09-23 |
| 1801402979 | Usrc Garland LLC | Clinic/Center | 219 W Kingsley Rd Ste 316, Garland, TX 75041-3434 | 2020-09-23 |
| 1003422171 | Usrc Dialysis At Home West LLC | Clinic/Center | 12011 State Highway 151 Ste 222, San Antonio, TX 78251-1230 | 2020-09-23 |
| 1477165462 | Fresenius Medical Care South Lewisville, LLC | Clinic/Center | 101 E Southwest Pkwy Ste 110, Lewisville, TX 75067-8753 | 2020-08-20 |
| 1598383259 | Dialysis Clinic Inc. | Clinic/Center | 6146 Wurzbach Road, San Antonio, TX 78238 | 2020-07-09 |
| 1891312559 | Usrc Houston Newco Home LLC | Clinic/Center | 2000 Crawford St Ste 777, Houston, TX 77002-9006 | 2020-06-29 |
| 1427671502 | Usrc Plano Dexter, LLC | Clinic/Center | 4708 Dexter Dr, Plano, TX 75093-5288 | 2020-05-22 |
| Find all providers with the same taxonomy | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.