NRA BAY CITY L.P. NPI 1497792337

NPI Information

  • NPI: 1497792337
  • Provider Name: NRA BAY CITY L.P.
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: MATAGORDA RENAL DIALYSIS CENTER
  • Address: 1105 AVENUE H
    BAY CITY, TX
    ZIP 77414
  • Phone: (979) 245-0099

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NPI Details

NRA BAY CITY L.P. is an end-stage renal disease (esrd) treatment clinic center in Bay City, TX. NRA BAY CITY L.P. NPI is 1497792337. The provider is registered as an organization entity type.
The provider Is Doing Business As Matagorda Renal Dialysis Center.

The provider's business location address is:

1105 AVENUE H
BAY CITY, TX
ZIP 77414-538
Phone: (979) 245-0099
Fax: (979) 245-6435

The provider's authorized official is Mark R. Fawcett .
The authorized official title is Treasurer and has the following contact phone number (781) 699-9000.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 3/12/2013.

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) Treatment007998TEXASYes

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
145-2878MEDICARE OSCAR/CERTIFICATIONTEXAS
21539445MEDICAIDTEXAS
345D1016253OTHERTEXASCLIA CERTIFICATE OF WAIVE
4013425MEDICAIDTEXAS

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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