DOUGLAS PARK I LTD NPI 1306820451

NPI Information

  • NPI: 1306820451
  • Provider Name: DOUGLAS PARK I, LTD
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: ODESSA KIDNEY DIALYSIS CENTER
  • Address: 6005 EASTRIDGE RD
    ODESSA, TX
    ZIP 79762
  • Phone: (432) 550-6012

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NPI Details

DOUGLAS PARK I, LTD is an end-stage renal disease (esrd) treatment clinic center in Odessa, TX. DOUGLAS PARK I, LTD NPI is 1306820451. The provider is registered as an organization entity type.
The provider Is Doing Business As Odessa Kidney Dialysis Center.

The provider's business location address is:

6005 EASTRIDGE RD
ODESSA, TX
ZIP 79762-019
Phone: (432) 550-6012
Fax: (432) 550-7201

The provider's authorized official is Douglas Park .
The authorized official title is Medical Director and has the following contact phone number (432) 687-4044.

The enumeration date for this NPI number is 12/2/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment008017TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1HH7000OTHERTEXASBC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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