OrganizationActive
Nacogdoches Dialysis Center Lp
NPI 1114250750 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Nacogdoches, TX
Provider details
- NPI number
- 1114250750
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kinam Martin, Chief Operations Officer(817) 725-7900
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3226 N University Dr Ste 100
Nacogdoches, TX 75965-2684
Phone: (936) 559-0031
Fax: (936) 559-0037
Street-level locationGet directions
Mailing address
1000 W Cannon St
Fort Worth, TX 76104-3029
Registry dates
- Enumerated
- 2009-09-15
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.