NPI age
19 years
Enumerated 2006-07-11
● Active Type 2 · Organization
Lake Jackson Dialysis And Kidney Center, Ltd, Llp
Lake Jackson Dialysis And Kidney Center, Ltd, Llp is 1 of 1165 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jaeger
Business Administrator
Last NPPES update
2009-08-10
Source: monthly bulk 2026-05
How this organization compares
Across 1165 active clinic/center providers in Texas.
NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
450 This Way St Ste A
Lake Jackson, TX 775665152
Mailing address
Po Box 4639
Houston, TX 772104639
Authorized official
Michael Jaeger
Business Administrator
📞 7137744000
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 172906302 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.