AQUA DIALYSIS NACOGDOCHES, LLC
NPI 1073112660
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Nacogdoches, TX

Active since October 23, 2020CLIA 45D1069713 · Waiver
3226 N UNIVERSITY DR, NACOGDOCHES, TX 75965(936) 559-0031 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 10, 2024, Oct 23, 2020 (2 updates tracked since 2020).

About Aqua Dialysis Nacogdoches, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AQUA DIALYSIS NACOGDOCHES, LLC (NPI 1073112660) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Nacogdoches, Texas and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through June 11, 2027 and lists Rupal Patel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073112660
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameAQUA DIALYSIS NACOGDOCHES, LLC
Location Address3226 N UNIVERSITY DRNacogdoches, TX 75965-2682
Mailing Address1245 Southridge Ct Ste 102Hurst, TX 76053-4390 · (682) 429-4508 · Fax (346) 214-6368
Organization SubpartYesParent: Aqua Dialysis Llp
Authorized OfficialRupal PatelCeo · (832) 721-2927
Enumeration DateOctober 23, 2020
Last NPPES UpdateSeptember 10, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
NPI 1073112660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
3226 N UNIVERSITY DR, Nacogdoches, TX 75965

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1069713

Aqua Dialysis Nacogdoches LLC · Nacogdoches, TX
Active · expires Jun 11, 2027
CLIA Number45D1069713
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorMuhammad A. Mir
Laboratory Phone(682) 429-4508
Laboratory LocationAqua Dialysis Nacogdoches LLC3226 University Dr Ste 100, Nacogdoches, TX 75962
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
3226 N UNIVERSITY DR, SUITE 300
NACOGDOCHES, TX 75965
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3226 N UNIVERSITY DR
NACOGDOCHES, TX 75965
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3226 N UNIVERSITY DR, STE 100
NACOGDOCHES, TX 75965
Specialist
3226 N UNIVERSITY DR
NACOGDOCHES, TX 75965

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073112660, enumerated as an "organization" on October 23, 2020.

The provider is located at 3226 N UNIVERSITY DR NACOGDOCHES, TX 75965 and the phone number is (936) 559-0031.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.