OrganizationActive
Aqua Dialysis San Augustine, LLC
NPI 1649879230 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · San Augustine, TX
Provider details
- NPI number
- 1649879230
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Aqua Dialysis LLP
- Organization subpart
- Yes
- Authorized official
- Rupal Patel, Ceo(832) 721-2927
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
403 N Milam St
San Augustine, TX 75972-2228
Phone: (936) 275-3600
Approximate (ZIP-level) locationGet directions
Mailing address
1245 Southridge Ct Ste 102
Hurst, TX 76053-4390
Registry dates
- Enumerated
- 2020-10-23
- Last updated
- 2024-09-10
- Certified
- 2024-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.