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Ponderosa Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Dickinson, TX · enumerated 2013 · authorized official Samuel Wey, Vp Licensure&Certification.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275876633

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Registry record

Entity type Organization (Type 2)
Legal business name Ponderosa Dialysis LLC
Other name <Unavail>
Practice address 3290 Gulf Fwy S Ste H, Dickinson, TX, 77539
Phone (281) 337-2175
Fax (281) 337-2386
Enumeration date Apr 3, 2013
Last updated in NPPES Jul 7, 2026

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Samuel Wey
Title Vp Licensure&Certification
Phone (615) 341-6641

Other identifiers

Identifier Type State Issuer
3469405-01 Medicaid TX -

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.

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Frequently asked questions

Who is the authorized official for Ponderosa Dialysis LLC?
NPPES lists Samuel Wey (Vp Licensure&Certification) as the authorized official for this organization.
What is the NPI number for Ponderosa Dialysis LLC?
The NPI for Ponderosa Dialysis LLC is 1275876633, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-07-07.