Organization Active NPI

Texas City Dialysis L.L.P.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Texas City, TX
National Provider Identifier
1992873970
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
TEXAS CITY DIALYSIS L.L.P.
Practice address
3557 Palmer Hwy
Texas City, TX 77590-6513
Phone
(409) 948-9300
Fax
(409) 947-9405
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Mario Assouad, M.D
Title
Medical Director
Phone
(409) 948-3900

Specialties & licenses 1

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

Addresses

Primary practice location

3557 Palmer Hwy
Texas City, TX 77590-6513

Mailing address

3557 Palmer Hwy
Texas City, TX 77590-6513
Phone (409) 948-9300

Other identifiers 1

IdentifierTypeStateIssuer
094304501MedicaidTX

National Provider Directory

National Provider Directory

Locations

3557 Palmer Hwy
Texas City, TX 77590
Phone (409) 948-9300

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1992873970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3557 PALMER HWY",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775906513",
            "telephone_number": "409-948-9300",
            "fax_number": "409-947-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3557 PALMER HWY",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775906513",
            "telephone_number": "409-948-9300",
            "fax_number": "409-947-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS CITY DIALYSIS L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "ASSOUAD",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "409-948-3900",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094304501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.