Active NPI
South Price Dialysis LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brownsville, TX
National Provider Identifier
1336448489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.