OrganizationActive
Douglas Park I, Ltd
NPI 1306820451 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Odessa, TX
Provider details
- NPI number
- 1306820451
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Douglas Park, Medical Director(432) 687-4044
- License
- 008017 (TX)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
6005 Eastridge Rd
Odessa, TX 79762-5019
Phone: (432) 550-6012
Fax: (432) 550-7201
Street-level locationGet directions
Mailing address
6005 Eastridge Rd
Odessa, TX 79762-5019
Other names (DBA / former)
- Doing business as
- Odessa Kidney Dialysis Center
Registry dates
- Enumerated
- 2005-12-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.