NPI age
14 years
Enumerated 2012-01-20
● Active Type 2 · Organization
Tumalo Dialysis Llc
Tumalo 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
Wey
Vp Licensure&certification
Last NPPES update
2024-04-17
Source: monthly bulk 2026-05
How this organization compares
Across 1165 active clinic/center providers in Texas.
NPI age
14 years
≈ at median (15 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-01Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
3518 Knickerbocker Rd
San Angelo, TX 769047611
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 370277569
Authorized official
Samuel T Wey
Vp Licensure&certification
📞 6153416641
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 3347403-02 |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
San Angelo Dialysis
-
San Angelo Dialysis
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.