SNG - LUFKIN DIALYSIS CENTER LP NPI 1427342872

NPI Information

NPI: 1427342872
Provider Name: SNG - LUFKIN DIALYSIS CENTER LP
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
CLIA Number: 45D0707260
Address: 1520 W FRANK AVE
LUFKIN, TX
ZIP 75904
Phone: (936) 238-3583

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NPI Details

SNG - LUFKIN DIALYSIS CENTER LP is an end-stage renal disease (esrd) treatment clinic center in Lufkin, TX. SNG - LUFKIN DIALYSIS CENTER LP NPI is 1427342872. The provider is registered as an organization entity type.

The provider's business location address is:

1520 W FRANK AVE
LUFKIN, TX
ZIP 75904-314
Phone: (936) 238-3583
Fax: (936) 238-3592

The provider's authorized official is Kinam C. Martin .
The authorized official title is Chief Operations Officer and has the following contact phone number (817) 725-7900.

The CLIA number assigned to this NPI record is 45D0707260 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2011 and was last updated on 7/21/2022.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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
1	319930901	MEDICAID	TEXAS
2	110251	OTHER	TEXAS	FACILITY LICENSE

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: 3/30/2025

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