Odessa Kidney Dialysis Center

LBN: Douglas Park I, Ltd
Odessa Kidney Dialysis Center is an health care organization with primary practice located at 6005 Eastridge Rd , Odessa TX 79762-5019. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Douglas Park I, Ltd can be contacted via phone (432) 550-6012, or through Park, Douglas via phone (432) 687-4044.

Contact Information

Primary practice address
6005 Eastridge Rd Odessa TX 79762-5019
Phone: (432) 550-6012
Fax: (432) 550-7201
Website:
Map and Directions
Authorized official contact:
Name: Park, Douglas Doctor of Medicine (MD)
Phone: (432) 687-4044

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 008017 Texas

Profile Details

NPI number 1306820451
LBN Legal business name Douglas Park I, Ltd
DBA Doing business as Odessa Kidney Dialysis Center
Authorized official Park, Douglas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2005
Last updated Aug 22nd, 2020 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306820451 NPPES
Texas Other HH7000 BC/BS

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