Innovative Dialysis Solutions At Home Of Devine
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in San Antonio, TX. Organization (NPI-2).
NPI number1184132425
StatusActive
Last updated in NPPESApr 3, 2026
Details
- NPI
- 1184132425
- Entity type
- Organization (NPI-2)
- Legal business name
- Innovative Dialysis Solutions At Home Of Devine
- Organization subpart
- No
- Enumeration date
- Jan 22, 2018
- Certification date
- Apr 3, 2026
- Last updated
- Apr 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Practice location
11040 W Interstate 10 Ste 103San Antonio, TX 78230-1080
Phone 830-541-5372 · Fax 830-267-8110
Mailing address
915 S Laredo St Ste 200San Antonio, TX 78204-3211
Phone 210-277-1418
Authorized official
Mark Nail
Business Manager
9726261117
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