Douglas Park I Ltd
Douglas Park I Ltd is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Midland, TX, holding Type 2 (organization) NPI 1053395103 since 2005. The authorized official on file is Douglas Park, Medical Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053395103 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Douglas Park I Ltd |
| Other name | <Unavail> |
| Practice address | 705 W WADLEY AVE, Midland, TX, 79705 |
| Phone | 4326871201 |
| Fax | 4326875008 |
| Enumeration date | 2005-12-02 |
| Last updated in NPPES | 2008-02-14 |
Authorized official
| Name | Douglas Park |
|---|---|
| Title | Medical Director |
| Phone | 4326874044 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Primary | 006898 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HH6176 | Other | TX | BC/BS |
Copy-ready billing details
Provider: Douglas Park I Ltd NPI: 1053395103 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 705 W WADLEY AVE, Midland, TX, 79705
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1386645521 | Douglas Park | Individual | Specialist | Midland, TX |
Verify this record
Cross-check NPI 1053395103 against the authoritative CMS record: view Douglas Park I Ltd on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Douglas Park I Ltd?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-02-14.