NPI age
20 years
Enumerated 2005-06-08
● Active Type 2 · Organization
Kidney Treatment Center East P A
Kidney Treatment Center East P A 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
Medola
Supervisor
Last NPPES update
2012-02-24
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
1608 S New Braunfels Ave
San Antonio, TX 782102253
Mailing address
3939 Medical Dr, # 110
San Antonio, TX 782292291
Authorized official
Jessica J Medola
Supervisor
📞 2106921515
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0943250-01 | |
| 05 (TX) | 0943250-02 | |
| 01 (TX) | HH6395 | BCBS |
Practice context
Single-site organization. Only one practice location on file.
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Request a quote →How to verify this organization
- 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.