NPI age
9 years
Enumerated 2016-09-07
● Active Type 2 · Organization
Wichita Falls Kidney Dialysis Llc
Wichita Falls Kidney Dialysis Llc 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
Reddy
Director
Last NPPES update
2020-01-26
Source: monthly bulk 2026-05
How this organization compares
Across 1165 active clinic/center providers in Texas.
NPI age
9 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-09Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
1104 Holliday St
Wichita Falls, TX 763014422
Mailing address
1508 10th St, Ste B
Wichita Falls, TX 763014401
Authorized official
Jayasankar Reddy, M.D
Director
📞 9407160557
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 3964322-01 | |
| 01 | HH486Y | BLUE CROSS BLUE SHIELD |
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.