P Praxis·MD
● Active Type 2 · Organization

Kidney Treatment Center San Antonio Inc

Clinic/Center·San Antonio, TX· NPI 1225032253 · Enumerated 2005 · 20 years on NPI
Kidney Treatment Center San Antonio Inc is 1 of 1165 clinic/center organizations in Texas.
NPI age
20 years
Enumerated 2005-06-08
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Medola
Supervisor
Last NPPES update
2010-04-07
Source: monthly bulk 2026-05

How this organization compares

Across 1165 active clinic/center providers in Texas.

NPI age
20 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2005 → 2026

2005-06Enumerated in NPPES
2005 2026

Where they practice

Primary practice location
803 Castroville Rd, Ste 401
San Antonio, TX 782373148
📞 2104354725fax 2104338826
Mailing address
3939 Medical Dr Ste 110, Ste 110
San Antonio, TX 782292292
📞 2106921515fax 2106920187

Authorized official

Jessica J Medola
Supervisor
📞 2106921515

Individual providers at this organization

12 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    TX license #000043 taxonomy 261QE0700X

Identifiers

TypeValueNotes
05 (TX) 0878423-01
01 (TX) HH6150 BC/BS
05 (TX) 0210833-01

Practice context

Multi-provider organization. 12 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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