Organization
INNOVATIVE DIALYSIS SOLUTIONS AT HOME OF DEVINE
Active
Organization
INNOVATIVE DIALYSIS SOLUTIONS AT HOME OF DEVINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK NAIL (BUSINESS MANAGER)
(972) 626-1117
Entity
Organization
Contact information
Practice address
11040 W INTERSTATE 10 STE 103, SAN ANTONIO, TX 78230-1080
(830) 541-5372
(830) 267-8110
Mailing address
915 S LAREDO ST STE 200, SAN ANTONIO, TX 78204-3211
(210) 277-1418
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110720
ESRD LICENSE
TX
05
—
3929473-01
—
TX
Enumeration date
01/22/2018
Last updated
04/03/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up