RAYBURN DIALYSIS LLC NPI 1790053775

NPI Information

NPI: 1790053775
Provider Name: RAYBURN DIALYSIS LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
:
Address: 207 TRADEWINDS BLVD
MIDLAND, TX
ZIP 79706
Phone: (432) 400-4202

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NPI Details

RAYBURN DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Midland, TX. RAYBURN DIALYSIS LLC NPI is 1790053775. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

207 TRADEWINDS BLVD
MIDLAND, TX
ZIP 79706-807
Phone: (432) 400-4202
Fax: (432) 400-4232

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.

The enumeration date for this NPI number is 12/6/2011 and was last updated on 2/19/2025.

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	110112	TEXAS	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	027731	OTHER	TEXAS	KIDNEY PROGRAM
2	298424701	MEDICAID	TEXAS

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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