Organization · Type 2 NPI

South Shore Dialysis Center LP

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · League City, TX

NPI number 1700840592 Active

Practice location

212 Gulf Fwy S, Ste G3
League City, TX 77573-3956

Call (281) 554-6050 Map

Fax (281) 316-1385

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	008213 (TX)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

2 other providers at this address

Other end-stage renal disease (esrd) treatment clinic/center providers in League City

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NPI record

NPI: 1700840592
Entity type: Organization (Type 2)
Issued: Apr 17, 2006
Last updated: Jun 8, 2026
Status: Active

Other names

<unavail>
South Shore Dialysis Center · doing business as
South Shore Dialysis Center · doing business as

Authorized official

Samuel Wey
VP, Licensure & Certification
(615) 341-6641

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1700840592

South Shore Dialysis Center LP's National Provider Identifier is 1700840592, issued on Apr 17, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in League City, TX. The record was last updated on Jun 8, 2026.