NPI age
5 years
Enumerated 2020-10-23
● Active Type 2 · Organization
Subpart
Aqua Dialysis San Augustine, Llc
Aqua Dialysis San Augustine, 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
Patel
Ceo
Last NPPES update
2024-09-10
Source: monthly bulk 2026-05
How this organization compares
Across 1165 active clinic/center providers in Texas.
NPI age
5 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-10Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
403 N Milam St
San Augustine, TX 759722228
Mailing address
1245 Southridge Ct Ste 102
Hurst, TX 760534390
Authorized official
Rupal Patel, MD
Ceo
📞 8327212927
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
Subpart of Aqua Dialysis Llp.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.