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SAKDC - DAVITA DIALYSIS PARTNERS LP NPI 1932162625


NPI Information

NPI: 1932162625
Provider Name: SAKDC - DAVITA DIALYSIS PARTNERS LP

Doing Business As: STONE OAK DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
731 CARNOUSTIE DR
STE 101
SAN ANTONIO, TX
ZIP 78258
Phone: (210) 403-2162
Get Directions

SAKDC - DAVITA DIALYSIS PARTNERS LP is an end-stage renal disease (esrd) treatment clinic center in San Antonio, TX. SAKDC - DAVITA DIALYSIS PARTNERS LP NPI is 1932162625. The provider is registered as an organization entity type.
The provider Is Doing Business As Stone Oak Dialysis.

The provider's business location address is:

731 CARNOUSTIE DR
STE 101
SAN ANTONIO, TX
ZIP 78258-800
Phone: (210) 403-2162
Fax: (210) 499-0884

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 4/11/2006 and was last updated on 3/12/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment000207TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10942724-01MEDICAIDTEXAS

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: 4/28/2024

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