Organization Active NPI

Mission Dialysis Access Center, PA

Doing business as Hyperbaric & Wound Specialists

  • Vascular & Interventional Radiology Physician
  • Mission, TX
National Provider Identifier
1174107569
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
MISSION DIALYSIS ACCESS CENTER, PA
Doing business as
Hyperbaric & Wound Specialists
Practice address
1317 St Claire Blvd Ste A5
Mission, TX 78572-6636
Phone
(956) 997-6111
Fax
(956) 997-0614
NPI assigned
May 11, 2021
Last updated
May 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dalia Cobos
Title
Practice Administrator
Phone
(956) 997-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X Primary

Addresses

Primary practice location

1317 St Claire Blvd Ste A5
Mission, TX 78572-6636

Mailing address

1317 St Claire Blvd Ste A5
Mission, TX 78572-6636
Phone (956) 997-6111

Other names 1

  • Hyperbaric & Wound Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210621002464 TX Part B Supplier - Clinic/Group Practice 4082014543 Receives reassigned benefits from 4 practitioners
Practice locations: Harlingen, TX; Edinburg, TX; Weslaco, TX; Mission, TX; Rio Grande City, TX

National Provider Directory

National Provider Directory

Locations

1502 Midlane Dr
Ste 113
Harlingen, TX 78552
Phone (956) 331-8150

5324 E US Highway 83
Ste A
Rio Grande City, TX 78582

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1174107569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 ST CLAIRE BLVD STE A5",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726636",
            "telephone_number": "956-997-6111",
            "fax_number": "956-997-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 ST CLAIRE BLVD STE A5",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726636",
            "telephone_number": "956-997-6111",
            "fax_number": "956-997-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION DIALYSIS ACCESS CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "COBOS",
        "authorized_official_first_name": "DALIA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "956-997-6111"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hyperbaric & Wound Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.