Organization Active NPI

South Price Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brownsville, TX
National Provider Identifier
1336448489
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
SOUTH PRICE DIALYSIS LLC
Practice address
64 S Price Rd
Suite B
Brownsville, TX 78521-2459
Phone
(956) 548-2242
Fax
(956) 548-2262
NPI assigned
Mar 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Dr. Loga Anandasivam, M.D.
Title
Medical Director
Phone
(956) 548-2242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

64 S Price Rd
Suite B
Brownsville, TX 78521-2459

Mailing address

64 S Price Rd
Suite B
Brownsville, TX 78521-2459
Phone (956) 548-2242

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1336448489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 S PRICE RD",
            "address_2": "SUITE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212459",
            "telephone_number": "956-548-2242",
            "fax_number": "956-548-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 S PRICE RD",
            "address_2": "SUITE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212459",
            "telephone_number": "956-548-2242",
            "fax_number": "956-548-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PRICE DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "ANANDASIVAM",
        "authorized_official_first_name": "LOGA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "956-548-2242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.