KIDNEY TREATMENT CENTER SAN ANTONIO INC (NPI# 1225032253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225032253 |
| Entity Type | Organization |
| Organization Name | KIDNEY TREATMENT CENTER SAN ANTONIO INC |
| Practice Address |
803 Castroville Rd Ste 401 San Antonio TX 78237-3148 |
| Mailing Address |
3939 Medical Dr Ste 110 Ste 110 San Antonio TX 78229-2292 |
| Practice Telephone | 2104354725 |
| Practice Fax Number | 2104338826 |
| Mailing Telephone | 2106921515 |
| Mailing Fax Number | 2106920187 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2010-04-07 |
| Authorized Official Name | MRS. JESSICA J MEDOLA (SUPERVISOR) |
| Authorized Official Telephone | 2106921515 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
000043 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0210833-01 | 05 | |
| TX | 0878423-01 | 05 | |
| TX | BC/BS | HH6150 | 01 |
| Street Address |
803 CASTROVILLE RD STE 401 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78237-3148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437686854 | Evidence of Grace Counseling Center | Counselor | 803 Castroville Rd, Suite 134, San Antonio, TX 78237-3153 | 2017-05-16 |
| 1467808709 | Rebekah Elaine Creswell | Counselor | 803 Castroville Rd, Suite 134, San Antonio, TX 78237-3153 | 2016-05-05 |
| 1740618313 | Fresenius Medical Care West Bexar, LLC | Clinic/Center | 803 Castroville Rd, Suite 410, San Antonio, TX 78237-3153 | 2013-10-17 |
| 1134368251 | Adam Samuel Campos | Counselor | 803 Castroville Rd, 413, San Antonio, TX 78237-3153 | 2009-02-12 |
| 1821288838 | Doris F Hilliard | Counselor | 803 Castroville Rd, Ste. #413, San Antonio, TX 78237-3153 | 2007-07-26 |
| 1558494799 | Richard T Delgado | Optometrist | 803 Castroville Rd, Ste129, San Antonio, TX 78237-3153 | 2007-03-14 |
| 1538206214 | Evidence of Grace Counseling Center | Counselor | 803 Castroville Rd, San Antonio, TX 78237-3153 | 2007-01-31 |
| 1275679151 | Gilbert Aguallo | Counselor | 803 Castroville Rd, San Antonio, TX 78237-3153 | 2007-01-29 |
| 1902952344 | Julie Barham | Counselor | 803 Castroville Rd, San Antonio, TX 78237-3153 | 2007-01-26 |
| 1225198880 | Theresa Ann Kazmierczak | Dentist | 803 Castroville Rd, #412, San Antonio, TX 78237-3153 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538717509 | Mario A Silva | Contractor | 1318 Sw35th, San Antonio, TX 78237 | 2019-09-03 |
| 1457885980 | Virtuous Care Home Health | Home Health | 318 Luxemburg, San Antonio, TX 78237 | 2017-04-11 |
| 1689122152 | Stephanie Gawlik | Physician Assistant | 2121 Southwest 26th, San Antonio, TX 78237 | 2016-09-14 |
| 1275857625 | Access Dental of Commerce, P.a. | Dentist | 4622 West Commerce, Suite #105, San Antonio, TX 78237 | 2010-03-15 |
| 1063741882 | Brandon Donaldson | Pharmacist | 4703 W. Commerce St., San Antonio, TX 78237 | 2009-12-08 |
| 1871635938 | Rodolfo R. Ledesma | Assisted Living Facility | 1809 Allende, San Antonio, TX 78237 | 2007-02-13 |
| 1730226002 | William Gilbert | Counselor | 806 Castroville Rd., San Antonio, TX 78237 | 2007-01-30 |
| 1487715827 | Thomas R Uribe | Dentist | 1302 S Gen Mcmullen, Suite 102, San Antonio, TX 78237 | 2006-12-12 |
| 1619037082 | Joe J Lopez | Social Worker | 322 Chipinque, San Antonio, TX 78237 | 2006-12-08 |
| 1740399187 | H-e-b, Lp | Clinical Medical Laboratory | 721 Castroville Rd, San Antonio, TX 78237 | 2006-08-30 |
| Find all providers in zip 78237 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422171 | Usrc Dialysis At Home West LLC | Clinic/Center | 12011 State Highway 151 Ste 222, San Antonio, TX 78251-1230 | 2020-09-23 |
| 1598383259 | Dialysis Clinic Inc. | Clinic/Center | 6146 Wurzbach Road, San Antonio, TX 78238 | 2020-07-09 |
| 1346863545 | Usrc Datapoint, LLC | Clinic/Center | 8115 Datapoint Dr, San Antonio, TX 78229-3227 | 2020-05-21 |
| 1538700729 | Sng - Westover Hills Dialysis Clinic | Clinic/Center | 9443 Dugas Dr, San Antonio, TX 78245 | 2019-09-30 |
| 1689146029 | Sakdc - Davita Dialysis Partners, Lp | Clinic/Center | 5010 Wiseman Blvd, San Antonio, TX 78251-4777 | 2018-12-26 |
| 1730651100 | Sakdc Davita Dialysis Partners Lp | Clinic/Center | 15619 Nacogdoches Rd, San Antonio, TX 78247-1159 | 2018-12-26 |
| 1427525385 | Usrc Hill Country, LLC | Clinic/Center | 12011 State Hwy 151, San Antonio, TX 78251-1230 | 2018-10-30 |
| 1285145086 | Fresenius Medical Care San Antonio, LLC | Clinic/Center | 5418 N Loop 1604 W Ste 120, San Antonio, TX 78249 | 2017-10-19 |
| 1427505098 | Fresenius Medical Care San Antonio, LLC | Clinic/Center | 5620 Lone Star Pkwy, San Antonio, TX 78253-2202 | 2016-09-01 |
| 1467810325 | Dsi Southeast San Antonio, LLC | Clinic/Center | 2635 S.e. Military Drive, San Antonio, TX 78223 | 2016-02-08 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78237 |
Please comment or provide details below to improve the information on KIDNEY TREATMENT CENTER SAN ANTONIO INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.