ODESSA KIDNEY DIALYSIS CENTER
NPI 1306820451
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Odessa, TX

Active since December 02, 2005
6005 EASTRIDGE RD, ODESSA, TX 79762(432) 550-6012(432) 550-7201 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Odessa Kidney Dialysis Center NPPES

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

ODESSA KIDNEY DIALYSIS CENTER (NPI 1306820451) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Odessa, Texas and active in the NPI registry since December 2005. The organization lists Douglas Park, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1306820451
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDOUGLAS PARK I, LTD
Location Address6005 EASTRIDGE RDOdessa, TX 79762-5019
Mailing Address6005 Eastridge RdOdessa, TX 79762-5019 · (432) 550-6012 · Fax (432) 550-7201
Fax(432) 550-7201
Organization SubpartNo
Authorized OfficialDouglas ParkMedical Director · (432) 687-4044
Enumeration DateDecember 2, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1306820451 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
License Licensed in TX · 008017
6005 EASTRIDGE RD, Odessa, TX 79762

Other Names 1

Doing Business AsOdessa Kidney Dialysis Center

Other Identifiers 1

OtherHH7000TX · Bc/bs

Other Providers at the Same Location NPPES 5

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

Obstetrics & Gynecology (Gynecology)
6005 EASTRIDGE RD, SUITE 110
ODESSA, TX 79762
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
6005 EASTRIDGE RD
ODESSA, TX 79762
Ophthalmology
6005 EASTRIDGE RD, SUITE 100
ODESSA, TX 79762
Obstetrics & Gynecology (Gynecology)
6005 EASTRIDGE RD, SUITE 110
ODESSA, TX 79762
Ophthalmology
6005 EASTRIDGE RD, SUITE 100
ODESSA, TX 79762

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Park I, Ltd's NPI number?

The NPI number for Douglas Park I, Ltd is 1306820451. It was assigned to this organization in the NPPES registry on December 2, 2005. The provider is doing business as Odessa Kidney Dialysis Center.

Where is Douglas Park I, Ltd located?

Douglas Park I, Ltd is located at 6005 Eastridge Rd, Odessa, TX 79762. The listed phone number is (432) 550-6012.

What is Douglas Park I, Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Douglas Park I, Ltd was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.