AQUA DIALYSIS SAN AUGUSTINE LLC NPI 1649879230

NPI Information

  • NPI: 1649879230
  • Provider Name: AQUA DIALYSIS SAN AUGUSTINE, LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • CLIA Number: 45D1093138
  • Address: 403 N MILAM ST
    SAN AUGUSTINE, TX
    ZIP 75972
  • Phone: (936) 275-3600

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NPI Details

AQUA DIALYSIS SAN AUGUSTINE, LLC is an end-stage renal disease (esrd) treatment clinic center in San Augustine, TX. AQUA DIALYSIS SAN AUGUSTINE, LLC NPI is 1649879230. The provider is registered as an organization entity type.

The provider's business location address is:

403 N MILAM ST
SAN AUGUSTINE, TX
ZIP 75972-228
Phone: (936) 275-3600

The provider's authorized official is Rupal Patel .
The authorized official title is Ceo and has the following contact phone number (832) 721-2927.

The CLIA number assigned to this NPI record is 45D1093138 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2020 and was last updated on 9/10/2024.

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) TreatmentYes

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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